Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 001207 | IA |
Y | 103TC0700X | Clinical Psychologist | 001207 | IA |
NPI | 1003181652 |
---|---|
Provider Name | Sapna Ram Dixon |
First Address | Des Moines, IA 50309-1307 |
Second Address | Des Moines, IA 50309-1307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2012 |
Last Update Date | 11/03/2021 |