NPI 1144503962

Russell Louis Dixon, PSYD

Practitioner Clinical Neuropsychologist Poplar Bluff, MO

Practice location

Address: 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318
Phone: (573) 686-4151

Registered specialties (3)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 90-09P (AR)

Other Clinical Neuropsychologist providers in Missouri →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 90-09P (AR)

Other Psychologist providers in Missouri →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 90-09P (AR)

Registry record

NPI: 1144503962
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2011
Record last updated: 15 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.