Individual provider · Type 1 NPI
Dixie J. Pederson, PhD
Health Service Psychologist · Lafayette, IN
Practice location
2 N 19th St
Lafayette, IN 47904-2950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | HSPP20010440 (IN) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Other health service psychologist providers in Lafayette
About NPI 1942491600
Dixie J. Pederson, PhD's National Provider Identifier is 1942491600, issued on Aug 7, 2007. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Lafayette, IN. The record was last updated on Aug 7, 2007.