Kelly Marie Dickey, SLPMSCCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3004 Issued in AL

Practice address

651 5TH Ave E
CDRC RM 262
Tuscaloosa, AL 35401-7424

Phone

(205) 348-3130

Fax

(205) 348-3157

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Board of Trustees, University of Alabama

  • Psychologist
  • Tuscaloosa, AL
  • NPI 1265736888
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1124221122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 5TH AVE E",
            "address_2": "CDRC RM 262",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017424",
            "telephone_number": "205-348-3130",
            "fax_number": "205-348-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 5TH AVE E",
            "address_2": "CDRC RM 262",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017424",
            "telephone_number": "205-348-3130",
            "fax_number": "205-348-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "SLPMSCCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006664",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Mohammed Dhanaliwala, MD
• Moninder Kaur Dhillon, MD
• Diagnostic Health Corporation
• John Davis Diaz, DMD
• Joseph Paul Diaz, DMD
• Jennifer Talbert Dickson, D.M.D.
• James Curtis Dilday, M.D.
• Megan Dillard, CRNP
• Stephenie Dillard, MD
• Courtney Dimitris

• Speech-Language Pathologist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.