Healthcare Provider Details

I. General information

NPI: 1053765446
Provider Name (Legal Business Name): MARGARET DIXON PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET ANN GODINE PH.D.

II. Dates (important events)

Enumeration Date: 04/21/2016
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 COUNTY RD STE F2
MINDEN NV
89423-4465
US

IV. Provider business mailing address

1235 SPRINGTIME DR
GARDNERVILLE NV
89460-8673
US

V. Phone/Fax

Practice location:
  • Phone: 775-220-8817
  • Fax:
Mailing address:
  • Phone: 775-220-8817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY0883
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number52102
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: