Dickson-Rishel, Dorothy

Dickson-Rishel, Dorothy is an individual health care provider with primary practice located at 1340 Broad Ave Suite 450, Gulfport MS 39501-2404. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dickson-Rishel, Dorothy can be contacted via phone (228) 867-5006.

Contact Information

Primary practice address
1340 Broad Ave Suite 450 Gulfport MS 39501-2404
Fax: (228) 867-5079
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 33507 Mississippi

Profile Details

NPI number 1780783761
LBN Legal business name Dickson-Rishel, Dorothy
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jun 14th, 2024 - about 6 months 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 1780783761 NPPES
Mississippi MEDICAID 00113112

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