Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL LOUIS DIXON, PSY.D.
ActiveRUSSELL LOUIS DIXON, PSY.D. is a Clinical Neuropsychologist healthcare provider located in POPLAR BLUFF, Missouri. NPI 1144503962 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · POPLAR BLUFF, MO
Registration Details
- NPI Number
- 1144503962
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2011 (14.909335292995 yrs)
- Last Updated
- Aug 15, 2013
- Licenses
-
90-09P (AR)90-09P (AR)90-09P (AR)
Practice Information
- Address
-
1500 N WESTWOOD BLVDPOPLAR BLUFF, MO, 639013318Browse MO providers · Browse ZIP 63901
- Phone
- 5736864151
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.