Individual
DR. KIM E. DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3701 LOOP RD, PSYCHOLOGY DEPT. 116B, TUSCALOOSA, AL 35404-5015
(205) 544-2000
Mailing address
3701 LOOP RD, PSYCHOLOGY DEPT. 116B, TUSCALOOSA, AL 35404-5015
(205) 544-2000
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
3147
NC
103TC0700X
Clinical Psychologist
Primary
3147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046VN
BCBS NC
NC
05
—
6000845
—
NC
Enumeration date
04/27/2006
Last updated
10/27/2011
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