Individual
MRS. KATHLEEN LARUE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
711 BINGHAM ST, PITTSBURGH, PA 15203-1007
(412) 995-5000
Mailing address
PO BOX 165, 131 STARR RD., RUSSELLTON, PA 15076-0165
(724) 265-1241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL001303L
PA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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