Provider Demographics
NPI:1407344401
Name:DIXON, CHRISTINA ROBIN (MS ED CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ROBIN
Last Name:DIXON
Suffix:
Gender:F
Credentials:MS ED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 TAFT RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-2765
Mailing Address - Country:US
Mailing Address - Phone:757-739-1628
Mailing Address - Fax:
Practice Address - Street 1:960 TAFT RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-2765
Practice Address - Country:US
Practice Address - Phone:757-739-1628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2203000323235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist