Individual
ALLISON K RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1001 N 31ST AVE, PHOENIX, AZ 85009-3437
(602) 442-3200
Mailing address
339 ROCKSIDE DR., DIXON, IL 61021
(815) 677-4360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146014385
IL
235Z00000X
Speech-Language Pathologist
Primary
5813515
AZ
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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