Provider Demographics
NPI:1013736164
Name:DIXON, THOMAS FRANK
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:FRANK
Last Name:DIXON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 ERWIN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-2938
Mailing Address - Country:US
Mailing Address - Phone:978-806-6481
Mailing Address - Fax:
Practice Address - Street 1:17 BIRCH HILL DR
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-2541
Practice Address - Country:US
Practice Address - Phone:603-966-1820
Practice Address - Fax:603-594-4342
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHP-1035235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty