Dixon, Stephanie O

Dixon, Stephanie O is an sole proprietor health care provider with primary practice located at 2176 Lauwiliwili St Ste 44 , Kapolei HI 96707-1881. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dixon, Stephanie O can be contacted via phone (808) 285-6230.

Contact Information

Primary practice address
2176 Lauwiliwili St Ste 44 Kapolei HI 96707-1881
Fax: (888) 233-3453
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC-464 Hawaii

Profile Details

NPI number 1386154425
LBN Legal business name Dixon, Stephanie O
Credentials PHD, MSCP, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2017
Last updated Oct 15th, 2020 - about 6 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 1386154425 NPPES
Hawaii MEDICAID 818966

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