Individual
COLLEEN O BICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
465 LEGO DR, CHARLOTTESVILLE, VA 22911-8670
(434) 245-9400
Mailing address
465 LEGO DR, CHARLOTTESVILLE, VA 22911-8670
(434) 245-9400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001700
VA
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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