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Contact Information

LISA DICKINSON
118 SANDHILL DR STE 202
MIDDLETOWN, DE19709-5863
 Phone: 302-674-2380
 Fax: 302-674-1299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for LISA DICKINSON · (Female)

NPI # 1982190674
Status Active
Credentials
Entity Individual
Enumeration date 07/05/2018
Last updated 04/04/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MD Medicaid 483106300
Hospital affiliation(s) Not Available
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.

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