ERIC DALE DICKERSON

MOREHEAD, KY
NPI1134222433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: KY  KY-2795)
Enumeration Date2006-09-06
Last Update Date2008-10-15
Business Address
Mr. ERIC DALE DICKERSON MS CCC/SLP
933 N TOLLIVER RD
MOREHEAD, KY 40351-1347
Phone number: 606-356-3848
Mailing Address
Mr. ERIC DALE DICKERSON MS CCC/SLP
717 RAMEY RIDGE ROAD
MOREHEAD, KY 40351
Phone number: 606-356-3848