Provider Demographics
NPI:1659751394
Name:DICKEY, JOHN P (BA, MHA)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:P
Last Name:DICKEY
Suffix:
Gender:M
Credentials:BA, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 W PARKHILL AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2614
Mailing Address - Country:US
Mailing Address - Phone:720-597-0366
Mailing Address - Fax:
Practice Address - Street 1:1525 W PARKHILL AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2614
Practice Address - Country:US
Practice Address - Phone:720-597-0366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator