Mrs Tia N Dickerson, is a
Marriage & Family Therapist based in Brownstown Twp, Michigan. Mrs Tia N Dickerson is licensed to practice in * (Not Available) (license number ) and her current practice location is
19366 Allen Rd Ste C, Brownstown Twp, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 479-0949.
NPI number for Mrs Tia N Dickerson is 1659960136 and her current mailing address is 551 Sunningdale Dr, Inkster, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659960136.
Healthcare Provider's Profile
Full Name | Mrs Tia N Dickerson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 19366 Allen Rd Ste C, Brownstown Twp, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659960136
- Provider Enumeration Date: 01/11/2021
- Last Update Date: 05/13/2021
Medical Identifiers
Medical identifiers for Mrs Tia N Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659960136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tia N Dickerson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tia N Dickerson, 551 Sunningdale Dr, Inkster, MI 48141-1238 Ph: (313) 394-9610 | Mrs Tia N Dickerson, 19366 Allen Rd Ste C, Brownstown Twp, MI 48183-6810 Ph: (734) 479-0949 |
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