Armandina Lizeth Dickerson, SLPA

Individual provider Active NPI Speech-Language Assistant · San Juan, TX

NPI 1013612969 · NPPES record last updated Mar 31, 2023

Key facts

NPI
1013612969
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
37507 (TX)
Practice address
1205 N Raul Longoria Rd # 1
San Juan, TX 78589-3720
Phone
(956) 782-5800
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37507TXMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 37507 TX Yes

Addresses

Primary practice location

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

Mailing address

16808 Sago Palm Dr
Penitas, TX 78576-7378
Phone (956) 205-3481

Other providers in San Juan, TX

All providers in San Juan, TX · Speech-Language Assistant in Texas

Sources for this page

Verify at the official NPI Registry.