SUSAN LOUISE DICKINSON (NPI# 1639129604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639129604 |
| Entity Type | Individual |
| Full Name | SUSAN LOUISE DICKINSON |
| Credential | PSYCH |
| Practice Address |
44 N Medical Dr Salt Lake City UT 84113-1105 |
| Mailing Address |
818 3rd Ave Salt Lake City UT 84103-3825 |
| Practice Telephone | 8015848550 |
| Mailing Telephone | 8015341006 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
XXXXX-XXXXX | UT | Behavioral Health & Social Service Providers |
| Street Address |
44 N MEDICAL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720220353 | Developmental Pediatrics | Pediatrics | 44 N Medical Dr, Salt Lake City, UT 84113-1105 | 2009-03-27 |
| 1578721080 | Alison Seppi | Registered Nurse | 44 N Medical Dr, Salt Lake City, UT 84113-1105 | 2008-05-30 |
| 1093937864 | Laurie K Redd | Audiologist | 44 N Medical Dr, Salt Lake City, UT 84113-1105 | 2007-05-02 |
| 1558490474 | Calvin Rolfe Marchant | Audiologist | 44 N Medical Dr, Salt Lake City, UT 84113-1105 | 2007-03-05 |
| 1023147899 | Roxann B Hunt | Speech-Language Pathologist | 44 N Medical Dr, Salt Lake City, UT 84113-1105 | 2007-03-05 |
| 1659400604 | Thomas M Mahoney | Audiologist | 44 N Medical Dr, Salt Lake City, UT 84113-1105 | 2007-03-05 |
| 1174669477 | Margaret E Chaney | Dietitian, Registered | 44 N Medical Dr, Salt Lake City, UT 84113-1105 | 2007-01-30 |
| 1164573689 | Anna S Bodnar | Pediatrics | 44 N Medical Dr, Salt Lake City, UT 84113-1105 | 2007-01-12 |
| 1861571648 | Scott Michael Jerome | Physical Therapist | 44 N Medical Dr, Salt Lake City, UT 84113-1105 | 2006-11-03 |
| 1548341647 | Walter R. Torres | Social Worker | 44 N Medical Dr, Salt Lake City, UT 84113-1105 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639474497 | Allison Jones | Psychologist | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-01-25 |
| 1851507057 | Pamela Swibel Plant | Psychologist | 1399 S 700 E, Suite 7, Salt Lake City, UT 84105-2149 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1972089951 | Rebecca Lyn Walton | Psychologist | 442 W Bountiful Way, Saratoga Springs, UT 84045 | 2018-07-13 |
| 1477066124 | Kristen K Murdock | Psychologist | 1171 S 225 E, Orem, UT 84058-6975 | 2017-11-15 |
| 1013276559 | Ben Springer | Psychologist | 446 E 2010 S, Heber City, UT 84032-4457 | 2012-05-03 |
| 1104437110 | Eden Deanne Steffey | Psychologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2020-08-12 |
| 1841824281 | Michal Lynne Johnson | Psychologist | 9678 S 700 E Ste 102, Sandy, UT 84070-3593 | 2020-02-25 |
| 1588200752 | Matthew Kirby | Psychologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2019-11-22 |
| 1235694001 | Fred Brooks | Psychologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2019-02-06 |
| 1225507908 | Jennifer Guthmann | Psychologist | 327 W Gordon Ave Ste 2, Layton, UT 84041-2381 | 2018-11-25 |
| 1689178071 | Marie Dian Foster | Psychologist | 5455 River Run Dr, Provo, UT 84604-7726 | 2018-03-20 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84113 |
Please comment or provide details below to improve the information on SUSAN LOUISE DICKINSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.