| Doctor Name: | KELLY MARIE DICKEY |
| NPI Number: | 1124221122 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLPMSCCC |
| License Number: | SLP006664 |
| Business Practice Address: | 651 5th Ave E Cdrc Rm 262 Tuscaloosa, AL - 354017424 |
| Business Phone Number: | 2053483130 |
| Business Fax Number: | 2053483157 |
| Mailing Address: | 651 5th Ave E, Cdrc Rm 262 TUSCALOOSA |
| State: | AL |
| Postal Code: | 354017424 |
| Phone Number: | 2053483130 |
| Fax Number: | 2053483157 |
| NPI Enumeration Date: | 06/07/2007 |
| NPI Last Update Date: | 08/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP006664 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |