Dickerson, Tony Brian

Dickerson, Tony Brian is an individual health care provider with primary practice located at 43836 Stine Rd , Redwood NY 13679-4154. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Dickerson, Tony Brian can be contacted via phone (623) 755-1996.

Contact Information

Primary practice address
43836 Stine Rd Redwood NY 13679-4154
Phone: (623) 755-1996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001216-1 New York

Profile Details

NPI number 1316313000
LBN Legal business name Dickerson, Tony Brian
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2015
Last updated Aug 17th, 2015 - about 10 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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