Organization Active NPI

Dickson Speech Pathology LLC

  • Speech-Language Pathologist
  • Colorado Springs, CO
National Provider Identifier
1962840827
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 4861 Issued in CA
Legal business name
DICKSON SPEECH PATHOLOGY LLC
Practice address
2011 Lark Dr
Colorado Springs, CO 80909-1812
Phone
(719) 440-6970
Fax
(719) 434-9734
NPI assigned
Jun 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Linda E Dickson, MA CCC-SLP
Title
Speech-Language Pathologist/Owner
Phone
(719) 440-6970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP 4861 CA Primary

Addresses

Primary practice location

2011 Lark Dr
Colorado Springs, CO 80909-1812

Mailing address

2011 Lark Dr
Colorado Springs, CO 80909-1812
Phone (719) 440-6970

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1962840827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 LARK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091812",
            "telephone_number": "719-440-6970",
            "fax_number": "719-434-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 LARK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091812",
            "telephone_number": "719-440-6970",
            "fax_number": "719-434-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKSON SPEECH PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "719-440-6970",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 4861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.