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Dr. Dixie J Pederson, PHD
Health Service Psychologist in Lafayette, Indiana
NPI 1942491600

Dixie J Pederson is a Health Service Psychologist based in Lafayette, IN and is specialized in Health Service. Dixie J Pederson practices in Lafayette, IN and has the professional credentials of PHD. The NPI Number for Dixie J Pederson is 1942491600 and holds a License No. HSPP20010440 (Indiana).

The current practice location address for Dixie J Pederson is 2 N 19Th St, Lafayette, IN and can be reached out via phone at 765-491-0002.

Location: 2 N 19Th St, Lafayette, IN, 47904-2950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942491600
Provider Name
Dixie J Pederson
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
2 N 19Th St, Lafayette, IN, 47904-2950
Phone Number
765-491-0002
Fax Number
Provider Enumeration Date
08/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HSPP20010440 01 IN STATE BOARD OF EXAMINERS
institution
Provider Business Practice Location Address Details
Address
2 N 19Th St
City
Lafayette
State
Indiana
Zip
47904-2950
Phone Number
765-491-0002
Fax Number
person
Provider Business Mailing Address Details
Address
2 N 19Th St
City
Lafayette
State
Indiana
Zip
47904-2950
Phone Number
765-491-0002
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
HSPP20010440 (Indiana)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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