Search › Connecticut › 101Y00000X
Joseph Dickerson, M. ED
NPI 1780029165 · on the registry since 2013
Practice
- Address
- 872 Vernon St
Manchester, CT 06042 - Phone
- (860) 882-9117
- Organisation at this address
- Dickerson Enterprise Llc
Dickerson Enterprise LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YP2500X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-30
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 Connecticut