Provider Demographics
NPI:1437916426
Name:DIXON, NANCY ANNE (PPS)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANNE
Last Name:DIXON
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:ZEHNER
Other - Last Name:PFOST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PPS
Mailing Address - Street 1:860 CAVE VALLEY RD. NORTHSIDE ELEMENTARY SCHOOL
Mailing Address - Street 2:
Mailing Address - City:COOL
Mailing Address - State:CA
Mailing Address - Zip Code:95614
Mailing Address - Country:US
Mailing Address - Phone:530-885-4079
Mailing Address - Fax:530-333-8356
Practice Address - Street 1:860 CAVE VALLEY RD. NORTHSIDE ELEMENTARY SCHOOL
Practice Address - Street 2:
Practice Address - City:COOL
Practice Address - State:CA
Practice Address - Zip Code:95614
Practice Address - Country:US
Practice Address - Phone:530-885-4079
Practice Address - Fax:530-333-8356
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool