Individual
DOMINIQUE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
9957 ALLISONVILLE RD, FISHERS, IN 46038-2006
(317) 841-7005
Mailing address
5960 ALLISONVILLE RD, INDIANAPOLIS, IN 46220-5202
(812) 677-8891
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008321A
IN
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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