Provider Demographics
NPI:1184621740
Name:DICKEY, NANCY A (AUD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:A
Last Name:DICKEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 BEECH ST
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-6008
Mailing Address - Country:US
Mailing Address - Phone:219-464-9580
Mailing Address - Fax:219-464-0640
Practice Address - Street 1:2601 BEECH ST
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-6008
Practice Address - Country:US
Practice Address - Phone:219-464-9580
Practice Address - Fax:219-464-0640
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23001381A237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN5694577OtherAETNA INSURANCE COMPANY
IN000000085445OtherANTHEM/BLUE CROSS
IN100151320Medicaid
IN01208OtherHEARUSA/NECP
IN000000085445OtherANTHEM/BLUE CROSS