Doctor Name: | MEGAN R DICKEN |
NPI Number: | 1104035070 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATC |
License Number: | 772 |
Business Practice Address: | 806 Saint Vincents Dr Wcc Ste. 620 Birmingham, AL - 352051684 |
Business Phone Number: | 2059391557 |
Business Fax Number: | |
Mailing Address: | 3212 Westbrook Dr, #102 BIRMINGHAM |
State: | AL |
Postal Code: | 352164239 |
Phone Number: | 4043943383 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | 772 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |