Ashton Dickey, MCD, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Chatom, AL

NPI 1154935708 · NPPES record last updated Sep 1, 2020

Key facts

NPI
1154935708
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4274 (AL)
Practice address
17527 Jordan Street
Chatom, AL 36518
Phone
(251) 847-3955
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

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
4274ALMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4274 AL Yes

Addresses

Primary practice location

17527 Jordan Street
Chatom, AL 36518

Mailing address

14600 Saint Stephens Ave
Chatom, AL 36518-6711

Other providers in Chatom, AL

All providers in Chatom, AL · Speech-Language Pathologist in Alabama

Sources for this page

Verify at the official NPI Registry.