Individual
DEIDRA DOUGLAS DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 TAMARACK RD STE 400, OWENSBORO, KY 42301-6934
(270) 926-8534
(270) 685-2058
Mailing address
1115 TAMARACK RD STE 400, OWENSBORO, KY 42301-6934
(270) 926-8534
(270) 685-2058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
245161
KY
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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