Deidra Douglas Dickerson

Speech-Language Pathologist · Owensboro, KY

Individual Active NPI

NPI number 1922574292

Practice location

1115 Tamarack Rd Ste 400
Owensboro, KY 42301-6934
Phone
(270) 926-8534
Fax
(270) 685-2058

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NPI record

NPI
1922574292
Entity type
Individual (Type 1)
Enumeration date
October 15, 2018
Last updated
October 15, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 245161 KY

Other practice locations (1)

  • 1115 Tamarack Rd Ste 400, Owensboro, KY 42301-6934 · (270) 926-8534

About Deidra Dickerson

Deidra Douglas Dickerson is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1115 Tamarack Rd Ste 400, Owensboro, KY 42301-6934. The NPI number 1922574292 was assigned on October 15, 2018 and the record was last updated on October 15, 2018.

Deidra Dickerson lists a license in the registry: #245161 (KY) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Deidra Douglas Dickerson?

The NPI number is 1922574292.

What is the phone number of Deidra Dickerson?

The phone number listed for the practice location is (270) 926-8534.

Where is Deidra Dickerson located?

1115 Tamarack Rd Ste 400, Owensboro, KY 42301-6934.

What is the taxonomy code for Deidra Dickerson?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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