Individual
DR. AMY BROOKE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
NOAH- LSUHSC PSYCHIATRY, 210 STATE STREET, RM. 3111S, NEW ORLEANS, LA 70118
(504) 896-2655
(504) 897-4781
Mailing address
1340 POYDRAS ST, NEW ORLEANS, LA 70112-1221
(504) 412-1860
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
834
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1113093
—
LA
Enumeration date
07/25/2006
Last updated
10/17/2008
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