Individual
DR. PATRICIA SHALENE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
975 RIVERSIDE DR, PALMETTO, FL 34221-5044
(941) 479-7866
(941) 479-7867
Mailing address
975 RIVERSIDE DR, PALMETTO, FL 34221-5044
(941) 479-7866
(941) 479-7867
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY8356
FL
103TC0700X
Clinical Psychologist
Primary
PY8356
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY8356
FL
103TP2701X
Group Psychotherapy Psychologist
PY8356
FL
Other
Enumeration date
09/08/2011
Last updated
10/24/2019
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