Individual
ALICE DYSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
BALL STATE UNIVERSITY, AC 104, MUNCIE, IN 47306-0001
(765) 285-8478
Mailing address
4115 W COVENTRY DR, MUNCIE, IN 47304-2415
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003906A
IN
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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