Provider Demographics
NPI:1942604061
Name:DIXON-GORDON, KATHERINE LEE (PHD)
Entity Type:Individual
Prefix:PROF
First Name:KATHERINE
Middle Name:LEE
Last Name:DIXON-GORDON
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:135 HICKS WAY
Mailing Address - Street 2:UNIVERSITY OF MASSACHUSETTS AMHERST DEPT OF PSYCHOLOGY
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01003-9271
Mailing Address - Country:US
Mailing Address - Phone:413-545-0226
Mailing Address - Fax:413-545-0996
Practice Address - Street 1:135 HICKS WAY
Practice Address - Street 2:UNIVERSITY OF MASSACHUSETTS AMHERST DEPT OF PSYCHOLOGY
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01003-9271
Practice Address - Country:US
Practice Address - Phone:413-545-0226
Practice Address - Fax:413-545-0996
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2014-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS53 922103TC0700X
MA10014103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical