Individual
MR. ERIC DALE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS CCC/SLP
Contact information
Practice address
933 N TOLLIVER RD, MOREHEAD, KY 40351-1347
(606) 356-3848
Mailing address
717 RAMEY RIDGE ROAD, MOREHEAD, KY 40351
(606) 356-3848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2795
KY
Other
Enumeration date
09/06/2006
Last updated
10/15/2008
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