Provider Demographics
NPI:1659613669
Name:DIXSON, ALANA DOREEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALANA
Middle Name:DOREEN
Last Name:DIXSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 BROOKLINE AVE
Mailing Address - Street 2:APT. 515
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3937
Mailing Address - Country:US
Mailing Address - Phone:203-887-7800
Mailing Address - Fax:
Practice Address - Street 1:170 BROOKLINE AVE
Practice Address - Street 2:APT. 515
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3937
Practice Address - Country:US
Practice Address - Phone:203-887-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA256764208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery