Johnathan Bradley Dickson, MSP SLP-CFY
NPI #1144886060 in Sumter, South Carolina
Provider Information
- NPI Number
- 1144886060
- Entity Type
- Individual
- Name
- Johnathan Bradley Dickson, MSP SLP-CFY
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MSP SLP-CFY
- Enumeration Date
- May 15, 2019
- Last Updated
- May 15, 2019
Practice Location
- Address
- 880 CAROLINA AVE
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-2815
- Phone
- (803) 775-5394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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