Russell Louis Dixon, PSYD in Poplar Bluff, MO - Clinical Neuropsychologist

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

Healthcare Provider's Profile

Full Name	Russell Louis Dixon
Gender	Male
Speciality	Clinical Neuropsychologist
Location	1500 N Westwood Blvd, Poplar Bluff, Missouri
Accepts Medicare Assignments	Does 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.

Identifier	Type	State	Issuer
1144503962	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	90-09P (Arkansas)	Secondary
103G00000X	Clinical Neuropsychologist	90-09P (Arkansas)	Primary
103TC0700X	Psychologist - 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 Address	Practice 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

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Russell Louis Dixon, PSYD - in Poplar Bluff, MO