Dickson, Johnathan Bradley

Dickson, Johnathan Bradley is an sole proprietor health care provider with primary practice located at 880 Carolina Ave , Sumter SC 29150-2815. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Dickson, Johnathan Bradley can be contacted via phone (803) 775-5394.

Contact Information

Primary practice address
880 Carolina Ave Sumter SC 29150-2815
Phone: (803) 775-5394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6733 South Carolina

Profile Details

NPI number 1144886060
LBN Legal business name Dickson, Johnathan Bradley
Credentials MSP SLP-CFY
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2019
Last updated May 15th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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