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NPI Code Detail

MEDICARE: MISS PATRICIA JANE DICKSON PHD

MEDICARE:  MISS PATRICIA JANE DICKSON  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker51646TX

General Provider Information

NPI Number : 1508365388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS PATRICIA JANE DICKSON PHD
Provider Business Mailing Address
First Line : 5730 EXECUTIVE DR STE 230
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-1762
Country : US
Telephone Number : 972-232-8080
Fax Number : 800-281-9558
Provider Business Practice Location Address
First Line : 8000 FRANKFORD RD
Second Line :
City : DALLAS
State : TX
Zip : 75252-6834
Country : US
Telephone Number : 972-232-8080
Fax Number : 800-281-9558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2018
Last Update Date : 02/25/2026

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Directions to “ MISS PATRICIA JANE DICKSON PHD” Practice Location

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