Individual
DR. PATRICIA S DICKINSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
318A E MAIN ST, HAVELOCK, NC 28532-2214
(252) 447-7764
(252) 444-6800
Mailing address
318A E MAIN ST, HAVELOCK, NC 28532-2214
(252) 447-7764
(252) 444-6800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2670
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045JF
BLUE CROSS/BLUE SHEILD
NC
05
—
6000180
—
NC
Enumeration date
09/02/2005
Last updated
07/09/2007
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