Provider Demographics
NPI:1821560590
Name:DR MARGARET DIXON LC
Entity Type:Organization
Organization Name:DR MARGARET DIXON LC
Other - Org Name:MARGARET ANN DIXON, PHD, PSYCHOLOGIST
Other - Org Type:Other Name
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:775-220-8817
Mailing Address - Street 1:1462 US HIGHWAY 395 N
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410-5203
Mailing Address - Country:US
Mailing Address - Phone:775-220-8817
Mailing Address - Fax:
Practice Address - Street 1:1462 US HIGHWAY 395 N
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89410-5203
Practice Address - Country:US
Practice Address - Phone:775-790-7771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-19
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty