Healthcare Provider Details

I. General information

NPI: 1982357844
Provider Name (Legal Business Name): ALLISON DICK M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7932 S STRAWTOWN PIKE
BUNKER HILL IN
46914-9667
US

IV. Provider business mailing address

4101 W BARBERRY LN
PERU IN
46970-8982
US

V. Phone/Fax

Practice location:
  • Phone: 765-689-9131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: