STACY BETTS DICKERSON M.S., CCC-SLP
NPI 1255967642
Speech-Language Pathologist in Tyler, TX

Q: What is Stacy Dickerson's NPI number?

The NPI number for Stacy Dickerson is 1255967642. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Q: What is Stacy Dickerson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Dickerson was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 17, 2020

701 OLYMPIC PLAZA CIR, TYLER, TX 75701(903) 596-3136(903) 596-3122 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stacy Betts Dickerson M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY BETTS DICKERSON M.S., CCC-SLP (NPI 1255967642) is an individual speech-language pathologist provider in Tyler, Texas, licensed in Texas (102145) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1255967642

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSTACY BETTS DICKERSONCredential: M.S., CCC-SLP

Location Address701 OLYMPIC PLAZA CIRTyler, TX 75701-1950

Mailing Address701 Olympic Plaza CirTyler, TX 75701-1950 · (903) 520-5335 · Fax (903) 596-3122

Phone(903) 596-3136

Fax(903) 596-3122

Sole ProprietorNo

Enumeration DateMarch 17, 2020

NPPES CertifiedMarch 17, 2020

✔ NPI 1255967642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in TX · 102145

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

701 OLYMPIC PLAZA CIR, Tyler, TX 75701

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