Individual
ALEXANDER THOMAS RICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
769 ROMBACH AVE, WILMINGTON, OH 45177-1999
(937) 382-2443
Mailing address
275 THORNE AVE, WILMINGTON, OH 45177-1217
(937) 382-7556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.13609
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0358990
—
OH
Enumeration date
08/29/2018
Last updated
02/06/2020
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