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Contact Information

AMY M DICKERSON, ATR
1821 UNIVERSITY AVE W STE N385
SAINT PAUL, MN55104-2872
 Phone: 612-326-7579
 Fax: 612-326-7579
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for AMY M DICKERSON · (Female)

NPI Number 1578074423
Status Active
Credentials ATR
Entity Individual
Enumeration date 10/18/2017
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 12-36
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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