Individual
SHANEYLIN DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2830 E BROWN RD, MESA, AZ 85213-5430
(425) 373-6972
Mailing address
6745 E SUPERSTITION SPRINGS BLVD APT 1046, MESA, AZ 85206-4314
(425) 373-6972
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA13487
AZ
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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