Individual provider · Type 1 NPI
Thad Shane Dickson, CPHIMS, PMP
Other Specialist/Technologist · Lakebay, WA
NPI number
1386930733
Active
Practice location
16511 34th Street Kp N
Lakebay, WA 98349-9774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | CPHIMS - 1592 (WA) |
| Mental Health Counselor | 101YM0800X | None listed |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
About NPI 1386930733
Thad Shane Dickson, CPHIMS, PMP's National Provider Identifier is 1386930733, issued on Jun 23, 2011. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Lakebay, WA. The record was last updated on May 7, 2014.