Provider Demographics
NPI:1083043319
Name:DICKEY, HOLLYE
Entity Type:Individual
Prefix:
First Name:HOLLYE
Middle Name:
Last Name:DICKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 UNIVERSITY SQ STE 19
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-1815
Mailing Address - Country:US
Mailing Address - Phone:256-837-2470
Mailing Address - Fax:256-837-2471
Practice Address - Street 1:4801 UNIVERSITY SQ STE 19
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-1815
Practice Address - Country:US
Practice Address - Phone:256-837-2470
Practice Address - Fax:256-837-2471
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3150235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist