Provider Demographics
NPI:1467664417
Name:DICKINSON, ARLENE (MA (CLINPSY), LMHC)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:
Last Name:DICKINSON
Suffix:
Gender:F
Credentials:MA (CLINPSY), LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ARMISTICE BLVD
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-3232
Mailing Address - Country:US
Mailing Address - Phone:508-246-4217
Mailing Address - Fax:
Practice Address - Street 1:69 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:MA
Practice Address - Zip Code:02766-2307
Practice Address - Country:US
Practice Address - Phone:508-246-4217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5963101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health