Individual
MS. TERESA ELIZABETH DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
601 YORKTOWN MANOR CT, ANNAPOLIS, MD 21409-5767
(443) 758-3240
Mailing address
601 YORKTOWN MANOR CT, ANNAPOLIS, MD 21409-5767
(443) 758-3240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05592
MD
235Z00000X
Speech-Language Pathologist
SA 11920
FL
235Z00000X
Speech-Language Pathologist
SL007781
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009052600002
—
PA
Enumeration date
04/23/2007
Last updated
08/12/2014
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