Individual
LISA DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 SANDHILL DR STE 202, MIDDLETOWN, DE 19709-5863
(302) 674-2380
(302) 674-1299
Mailing address
156 S STATE ST, DOVER, DE 19901-7314
(302) 674-2380
(302) 674-1299
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483106300
—
MD
Enumeration date
07/05/2018
Last updated
04/04/2024
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