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NPI Profile for THAD S DICKSON in LAKEBAY, WA.
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist/Technologist, Other |
246Z00000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1386930733 |
|
| Status | Active | |
| Credentials | CPHIMS, PMP | |
| Entity | Individual | |
| Enumeration date | 06/23/2011 | |
| Last updated | 05/07/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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THAD S DICKSON
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THAD S DICKSON, CPHIMS, PMP