Individual
KELLY MARIE DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPMSCCC
Contact information
Practice address
651 5TH AVE E, CDRC RM 262, TUSCALOOSA, AL 35401-7424
(205) 348-3130
(205) 348-3157
Mailing address
651 5TH AVE E, CDRC RM 262, TUSCALOOSA, AL 35401-7424
(205) 348-3130
(205) 348-3157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3004
AL
235Z00000X
Speech-Language Pathologist
SLP006664
GA
Other
Enumeration date
06/07/2007
Last updated
08/25/2011
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