Individual
MR. CHARLES DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 669-8339
(305) 669-6442
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 669-8339
(305) 669-6442
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY6192
FL
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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