Provider Demographics
NPI:1720096712
Name:DIXON, MARIA V (MA)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:V
Last Name:DIXON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100 LEFRAK HALL
Mailing Address - Street 2:DEPT. OF HEARING & SPEECH SCIENCEUNIVERSITY OF MARYLAND
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20742-8211
Mailing Address - Country:US
Mailing Address - Phone:301-405-8083
Mailing Address - Fax:301-314-2023
Practice Address - Street 1:100 LEFRAK HALL
Practice Address - Street 2:DEPT. OF HEARING & SPEECH SCIENCEUNIVERSITY OF MARYLAND
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20742-8211
Practice Address - Country:US
Practice Address - Phone:301-405-8083
Practice Address - Fax:301-314-2023
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN22003850A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist