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TRACY DICKERSON NPI 1568983112


NPI Information

NPI: 1568983112
Provider Name: TRACY DICKERSON
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
8170 BEVERLY BLVD STE 207
LOS ANGELES, CA
ZIP 90048
Phone: (323) 813-6458
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Tracy Dickerson is a marriage family therapist in Los Angeles, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Tracy Dickerson NPI is 1568983112. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8170 BEVERLY BLVD STE 207
LOS ANGELES, CA
ZIP 90048-532
Phone: (323) 813-6458

The enumeration date for this NPI number is 7/5/2017 and was last updated on 7/5/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist96161CALIFORNIAYes

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: 11/14/2023

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