Dixon, Adria Ann

Dixon, Adria Ann is an individual health care provider with primary practice located at 451 Bishop Federal Lane Christus St Josephs Villa, Salt Lake City UT 84115. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dixon, Adria Ann can be contacted via phone (801) 487-7557.

Contact Information

Primary practice address
451 Bishop Federal Lane Christus St Josephs Villa Salt Lake City UT 84115
Phone: (801) 487-7557
Fax: (801) 468-6843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5229153-4102 Utah

Profile Details

NPI number 1891860516
LBN Legal business name Dixon, Adria Ann
Credentials SPEECH LANGUAGE PATH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891860516 NPPES
Utah MEDICAID D6786

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