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Contact Information

RAVEN DIXON
8091 W RAILROAD AVE
GULFPORT, MS39501-8103
 Phone: 901-730-2544
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for RAVEN DIXON · (Female)

NPI Number 1144945791
Status Active
Credentials
Entity Individual
Enumeration date 10/06/2022
Last updated 02/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers Not Available
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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