Search › California › 101YA0400X
Tashawn Dickerson
NPI 1235052093 · on the registry since 2026
Practice
- Address
- 1235 Mchenry Ave Ste A&B
Modesto, CA 95350 - Phone
- (209) 527-4597
- Fax
- (209) 529-4599
- Organisation at this address
- Aegis Treatment Centers, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 126
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Male
- Record last updated
- 2026-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California