Russell Louis Dixon, PSYD - in Poplar Bluff, MO

Russell Louis Dixon, PSYD is a Clinical Neuropsychologist based in Poplar Bluff, Missouri. Russell Louis Dixon is licensed to practice in Arkansas (license number 90-09P) and his current practice location is 1500 N Westwood Blvd, Poplar Bluff, Missouri. He can be reached at his office (for appointments etc.) via phone at (573) 686-4151.

NPI number for Russell Louis Dixon is 1144503962 and his current mailing address is 1500 N Westwood Blvd, Poplar Bluff, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144503962.

Contact Information

Russell Louis Dixon, PSYD
1500 N Westwood Blvd,
Poplar Bluff, MO 63901-3318
(573) 686-4151
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRussell Louis Dixon
GenderMale
SpecialityClinical Neuropsychologist
Location1500 N Westwood Blvd, Poplar Bluff, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144503962
  • Provider Enumeration Date: 09/28/2011
  • Last Update Date: 08/15/2013

Medical Identifiers

Medical identifiers for Russell Louis Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144503962NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 90-09P (Arkansas)Secondary
103G00000XClinical Neuropsychologist 90-09P (Arkansas)Primary
103TC0700XPsychologist - Clinical 90-09P (Arkansas)Secondary

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. Russell Louis Dixon 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 AddressPractice Location Address
Russell Louis Dixon, PSYD
1500 N Westwood Blvd,
Poplar Bluff, MO 63901-3318

Ph: (573) 686-4151
Russell Louis Dixon, PSYD
1500 N Westwood Blvd,
Poplar Bluff, MO 63901-3318

Ph: (573) 686-4151

Reviews and Comments



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