Provider Demographics
NPI:1679195424
Name:DIXON, NATALIE A (AUD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:A
Last Name:DIXON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:A
Other - Last Name:ROTHBAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:825 NE 10TH ST # 4C
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5417
Mailing Address - Country:US
Mailing Address - Phone:405-271-1368
Mailing Address - Fax:
Practice Address - Street 1:825 NE 10TH ST # 4C
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5417
Practice Address - Country:US
Practice Address - Phone:405-271-1368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist