Dickson, Kathy

Dickson, Kathy is an individual health care provider with primary practice located at 126 Lithia Pinecrest Rd , Brandon FL 33511-5347. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Dickson, Kathy can be contacted via phone (813) 689-8828.

Contact Information

Primary practice address
126 Lithia Pinecrest Rd Brandon FL 33511-5347
Phone: (813) 689-8828
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1063555092
LBN Legal business name Dickson, Kathy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jun 28th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063555092 NPPES
Florida MEDICAID 767111300

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