Dixon, Kim E.

Dixon, Kim E. is an individual health care provider with primary practice located at 3701 Loop Rd Psychology Dept. 116B, Tuscaloosa AL 35404-5015. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dixon, Kim E. can be contacted via phone (205) 544-2000.

Contact Information

Primary practice address
3701 Loop Rd Psychology Dept. 116B Tuscaloosa AL 35404-5015
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 3147 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3147 North Carolina

Profile Details

NPI number 1609833144
LBN Legal business name Dixon, Kim E.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Oct 27th, 2011 - about 13 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 1609833144 NPPES
North Carolina MEDICAID 6000845
North Carolina Other 046VN

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