Dickson, Andrew L
Dickson, Andrew L is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Dickson, Andrew L can be contacted via phone (601) 268-5620.Contact Information
Primary practice address
415 S 28Th Ave
Hattiesburg MS 39401-7246
Phone: (601) 268-5620
Fax: (601) 268-5851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 8104 | Mississippi |
Profile Details
| NPI number | 1669480869 |
|---|---|
| LBN Legal business name | Dickson, Andrew L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Mar 26th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669480869 | NPPES |
| Mississippi | Other | 1559323 | AMERICAN ADMIN GROUP |
| Mississippi | Other | 260027218 | AMERICAN ADMIN GROUP |
| Mississippi | MEDICAID | 00124964 | AMERICAN ADMIN GROUP |
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