Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olivia Nicole Dallas

Individual provider Speech-Language Pathologist · NPI 1962238337

Olivia Nicole Dallas is a Qualified Speech Language Pathologist in Newark, Delaware. Qualified in 2024, 2 years ago. Registered with an NPI since 2024.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

540 S College Ave Ste 102
Newark, DE 19713-1302
Phone: (302) 831-7100
Fax: (302) 831-7101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1962238337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2024
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Newark