Individual
DR. MICHAEL S DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
126 EVERETT RD, AUBURN, ME 04210-8545
(207) 783-3052
Mailing address
126 EVERETT RD, AUBURN, ME 04210-8545
(207) 783-3052
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS364
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003482
ANTHEM BC/BS
ME
05
—
226970000
—
ME
Enumeration date
04/04/2006
Last updated
07/03/2013
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