Dickerson, Suzanne

Dickerson, Suzanne is an individual health care provider with primary practice located at 102 W 2Nd St , Thibodaux LA 70301-3004. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Dickerson, Suzanne can be contacted via phone (985) 446-5244.

Contact Information

Primary practice address
102 W 2Nd St Thibodaux LA 70301-3004
Phone: (985) 446-5244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1912371931
LBN Legal business name Dickerson, Suzanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2015
Last updated Mar 27th, 2019 - about 5 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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