Individual
MRS. DYAN DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A CCC-SLP
Contact information
Practice address
3585 RICHMOND ST, JACKSONVILLE, FL 32205-9421
(321) 266-8470
Mailing address
3585 RICHMOND ST, JACKSONVILLE, FL 32205-9421
(321) 266-8470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07547
MD
235Z00000X
Speech-Language Pathologist
SA17877
FL
Other
Enumeration date
12/22/2015
Last updated
06/10/2020
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