Armandina Lizeth Dickerson, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

37507 Issued in TX

Practice address

1205 N Raul Longoria Rd # 1
San Juan, TX 78589-3720

Phone

(956) 782-5800

NPI assigned

Mar 31, 2023

Last updated

Mar 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1013612969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16808 SAGO PALM DR",
            "city": "PENITAS",
            "state": "TX",
            "postal_code": "785767378",
            "telephone_number": "956-205-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N RAUL LONGORIA RD # 1",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893720",
            "telephone_number": "956-782-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "ARMANDINA",
        "middle_name": "LIZETH",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "37507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna De la Cruz, COTA
• Leonel De la Garza
• Maribel De Los Santos
• Karen De Luna, M.S., CCC-SLP
• Dental Park of San Juan PLLC
• Dona Mari's RGV Primary Home Care, LLC.
• Dr Americo M Baca PLLC (San Juan Family Clinic)
• Shelly L Duffey, PT
• Dulce Primary Home Care
• Alberto D Duran, MD

• Speech-Language Assistant in San Juan, TX
• Providers in San Juan, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.