NPI 1578074423

Amy Marie Dickerson, ATR

Practitioner Art Therapist Saint Paul, MN

Practice location

Address: 1821 University Ave W STE N385, Saint Paul, MN 55104-2872
Phone: (612) 326-7579
Fax: (612) 326-7579
Mailing address: 506 Prairie Ln, Hudson, WI 54016-7040

Registered specialties

Art Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 221700000X Licence 12-36 (WI)

Other Art Therapist providers in Minnesota →

Registry record

NPI: 1578074423
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2017
Record last updated: 17 Mar 2018

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.