NPI Profile for Dr EVERETT T DICKERSON in WILMINGTON, DE.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Professional |
101YP2500X |
| NPI # | 1215059332 |
|
| Status | Active | |
| Credentials | PHD | |
| Entity | Individual | |
| Enumeration date | 04/06/2007 | |
| Last updated | 04/14/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EVERETT T DICKERSON
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