Deirdre Elaine Dickson, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · King Ferry, NY
NPI 1871009506 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1871009506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 8842 State Route 90 N
King Ferry, NY 13081-8717 - Phone
- (315) 364-7570
- Fax
- (315) 364-7570
- NPI assigned
- Dec 18, 2017
- 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
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
8842 State Route 90 N
King Ferry, NY 13081-8717
Mailing address
791 Midline Rd.
Freeville, NY 13068-5620
Phone (607) 279-1441
Other names
- Ms. Deirdre Elaine Warren
Other providers in King Ferry, NY
- Susan Ann Dalaba
- Anne Dalton
- Dana E. Mandel PT
- Tamara Lynne Dawkins
- Kristin Devita
- Rebecca Dixon
- Mallory E Donigan
- Kerin Elisens Duff
- Karla Eshelman
- Elizabeth H Foster
All providers in King Ferry, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.