Dicker, Dale

Dicker, Dale is an individual health care provider with primary practice located at 11715 Administration Dr Ste 101, St Louis MO 63146. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Dicker, Dale can be contacted via phone (314) 993-8123.

Contact Information

Primary practice address
11715 Administration Dr Ste 101 St Louis MO 63146
Phone: (314) 993-8123
Fax: (314) 993-8123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 000956 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 002320 Missouri

Profile Details

NPI number 1053475111
LBN Legal business name Dicker, Dale
Credentials MED LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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