Caroline Dickerson, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1423004 Issued in PA

Practice address

510 Williamson Cir
Media, PA 19063

Phone

(215) 806-4590

NPI assigned

Mar 6, 2019

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1306304522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 WILLIAMSON CIR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635132",
            "telephone_number": "215-806-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 WILLIAMSON CIR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "215-806-4590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Rutgers Ave",
            "address_purpose": "LOCATION",
            "city": "Swarthmore",
            "state": "PA",
            "postal_code": "19081",
            "country_code": "US",
            "telephone_number": "610-328-5955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Williamson Cir",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "19063",
            "country_code": "US",
            "telephone_number": "215-806-4590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "1423004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryane Michele Devlin, PTA
• Lauren V Di Domenico, DPT
• Aissatou Diallo, RBT
• Rachel Diamond, LCSW
• Anier Diaz Vidal, DMD
• Beth Dienno, P.T.A.
• Robert Digiovanni, MD
• Vincent M Digiovanni, D.O.
• Robert Dewey Dilbeck Jr., LCSW
• Lauren Dilullo

• Speech-Language Pathologist in Media, PA
• Providers in Media, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.