National Provider Identifier Database

SUSANE A DICKSON, MD – NPI #1194804054
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

SUSANE A DICKSON, MD
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI02915-5061
Phone: 401-432-1000
Fax: 401-432-1500
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for SUSANE A DICKSON

NPI Number 1194804054
Credentials MD
Entity Individual
Enumeration date 11/03/2006
Last updated 08/20/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: ME71623
  • MA License #: 264742
  • RI License #: MD17188
  • FL Medicaid: 258302000
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SUSANE A DICKSON, MD

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