Individual
GIANNA C DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4040 TAMARACK DR, PARMA, OH 44134-6266
(440) 572-1337
Mailing address
1233 NICHOLSON AVE APT 2, LAKEWOOD, OH 44107-2764
(814) 823-5108
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
20191100-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.14139
OH
Other
Enumeration date
09/03/2019
Last updated
10/29/2020
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