Susane A Dickson, MD
Psychiatry & Neurology, Child & Adolescent Psychiatry in Riverside, Rhode Island
1194804054- Practice location
- 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
- Phone
- 401-432-1000
- Fax
- 401-432-1500
- Last updated
- August 20, 2020
Susane A. Dickson is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Riverside, RI. Susane A. Dickson practices in Riverside, RI and has the professional credentials of MD. The NPI Number for Susane A. Dickson is 1194804054 and holds a License No. 264742 (MA). The current practice location address for Susane A. Dickson is 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 and can be reached out via phone at 401-432-1000 and via fax at 401-432-1500.
Provider Profile Details
- NPI Number
- 1194804054
- Provider Name
- Susane A. Dickson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
- Phone Number
- 401-432-1000
- Fax Number
- 401-432-1500
- Primary Taxonomy
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 3, 2006
- Last Update Date
- August 20, 2020
- Certification Date
- August 20, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061 - City
- Riverside
- State
- Rhode Island
- Zip
- 02915-5061
- Phone Number
- 401-432-1000
- Fax Number
- 401-432-1500
Provider Business Mailing Address Details
- Address
- 117 Ellenfield St Ste 101
Providence, RI 02905-4541 - City
- Providence
- State
- RI
- Zip
- 02905-4541
- Phone Number
- 014-444-6779
- Fax Number
- 401-444-6912
License Information
- License Number (1)
- 264742
- License State (1)
- MA
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- me71623
- License State (2)
- FL
- Taxonomy (2)
- Pediatrics · 208000000X
- License Number (3)
- MD17188
- License State (3)
- RI
- Taxonomy (3)
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Child & Adolescent Psychiatry providers near Riverside, RI
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Frequently Asked Questions
What is the NPI number of Susane A Dickson, MD?
The NPI number of Susane A Dickson, MD is 1194804054. It was assigned on November 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Susane A Dickson, MD?
Susane A Dickson, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in MA under license number 264742.
Where does Susane A Dickson, MD practice?
The practice location is 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061. The office can be reached at 401-432-1000 (phone) or 401-432-1500 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194804054 directly on the NPPES registry website.