Provider Demographics
NPI:1942375001
Name:DICKSON, CLAUDIA SILVERI (COTAL)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:SILVERI
Last Name:DICKSON
Suffix:
Gender:F
Credentials:COTAL
Other - Prefix:MRS
Other - First Name:CLAUDIA
Other - Middle Name:JEAN
Other - Last Name:SILVERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1802 W WICKIEUP LANE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027
Mailing Address - Country:US
Mailing Address - Phone:623-581-2247
Mailing Address - Fax:
Practice Address - Street 1:1025 N COUNTRY CLUB DR
Practice Address - Street 2:MPS SPECIAL EDUCATION
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201
Practice Address - Country:US
Practice Address - Phone:480-472-0727
Practice Address - Fax:480-472-0705
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1459224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant