Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Azar-Dickens, Ph D , PC

Organization Clinical Psychologist · NPI 1093026601

John Azar-Dickens, Ph D , PC is a Clinical Psychologist in Rome, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 John Maddox Dr NW
Rome, GA 30165-1451
Phone: (706) 232-6743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 002459 (GA)

Record details

NPI number1093026601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Azar-Dickens — Licensed Psychologist · (706) 234-0659
NPI enumeratedJune 29, 2010
Last updated in NPPESJune 29, 2010
Mailing addressPo Box 1008, Rome, GA 30162-1008

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