Individual
MRS. JULIE SIPPEL DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
9075 KINGSTON RD, SHREVEPORT, LA 71118-3415
(318) 686-1974
(318) 688-4459
Mailing address
1170 ONTARIO ST, SHREVEPORT, LA 71106-1414
(318) 465-1276
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4406
LA
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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