Individual
DOROTHY DICKSON-RISHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1340 BROAD AVE, SUITE 450, GULFPORT, MS 39501-2404
(228) 867-5006
(228) 867-5079
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 864-8454
(228) 865-1457
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33507
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113112
—
MS
Enumeration date
09/22/2006
Last updated
06/14/2024
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