Individual
STEPHANIE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3140 SHADOW WALK LN, TUCKER, GA 30084-2141
(770) 815-4013
Mailing address
3140 SHADOW WALK LN, TUCKER, GA 30084-2141
(770) 815-4013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011150
GA
235Z00000X
Speech-Language Pathologist
6612
SC
235Z00000X
Speech-Language Pathologist
SA17687
FL
Other
Enumeration date
08/13/2018
Last updated
07/21/2025
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