| NPI | 1932332855 |
|---|---|
| Former Name | STEPHANIE J DICKERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA10549) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SZ 4789) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2020-06-27 |