MALCOLM MALIK DIXON NPI 1417468679

NPI Information

Malcolm Malik Dixon is a counselor in Brockton, MA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Malcolm Malik Dixon NPI is 1417468679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

115 WEST CHESTNUT STREET
BROCKTON, MA
ZIP 02301
Phone: (508) 580-5162

The enumeration date for this NPI number is 10/16/2017 and was last updated on 10/16/2017.

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:

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