Individual
DR. STACEY L DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
917 S COOPER ST, MEMPHIS, TN 38104-5606
(901) 336-6975
Mailing address
1835 UNION AVE, SUITE 315, MEMPHIS, TN 38104-3921
(901) 726-1284
(901) 726-4396
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1815
TN
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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