Dixon, Russell Louis

Dixon, Russell Louis is an individual health care provider with primary practice located at 1500 N Westwood Blvd , Poplar Bluff MO 63901-3318. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Dixon, Russell Louis can be contacted via phone (573) 686-4151.

Contact Information

Primary practice address
1500 N Westwood Blvd Poplar Bluff MO 63901-3318
Phone: (573) 686-4151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 90-09P Arkansas
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 90-09P Arkansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 90-09P Arkansas

Profile Details

NPI number 1144503962
LBN Legal business name Dixon, Russell Louis
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2011
Last updated Aug 15th, 2013 - about 12 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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