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DOMINIQUE DICKERSON M.A. CCC-SLP NPI 1922708619


NPI Information

NPI: 1922708619
Provider Name: DOMINIQUE DICKERSON, M.A. CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
9957 ALLISONVILLE RD
FISHERS, IN
ZIP 46038
Phone: (317) 841-7005
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Dominique Dickerson, M.A. CCC-SLP is a speech language pathologist in Fishers, IN. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Dominique Dickerson, M.A. CCC-SLP NPI is 1922708619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9957 ALLISONVILLE RD
FISHERS, IN
ZIP 46038-006
Phone: (317) 841-7005

The enumeration date for this NPI number is 3/9/2023 and was last updated on 3/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist22008321AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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