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DICKINSON PSYCHOLOGICAL SERVICES PA NPI 1417115429


NPI Information

NPI: 1417115429
Provider Name: DICKINSON PSYCHOLOGICAL SERVICES PA
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
318A E MAIN ST
HAVELOCK, NC
ZIP 28532
Phone: (252) 447-7764
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DICKINSON PSYCHOLOGICAL SERVICES PA is a clinical psychologist in Havelock, NC. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DICKINSON PSYCHOLOGICAL SERVICES PA NPI is 1417115429. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

318A E MAIN ST
HAVELOCK, NC
ZIP 28532-214
Phone: (252) 447-7764

The provider's authorized official is Patricia S Dickinson .
The authorized official title is Owner and has the following contact phone number (252) 447-7764.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 6/13/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist2670NORTH CAROLINANo
2103TC0700XPsychologistClinical2670NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16000180MEDICAIDNORTH CAROLINA
2045JFOTHERNORTH CAROLINABCBS
32717288MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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