Individual
DR. DWIGHT DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.,
Contact information
Practice address
10 N GREEN STREET, VISN 5 MIRECC SUITE 6A (BT/MIRECC), BALTIMORE, MD 21201-1524
(410) 605-7817
(410) 605-7739
Mailing address
10 N GREEN STREET, VISN 5 MIRECC SUITE 6A (BT/MIRECC), BALTIMORE, MD 21201-1524
(410) 605-7817
(410) 605-7739
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03997
MD
Other
Enumeration date
04/19/2006
Last updated
07/13/2026
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