Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy Betts Dickerson, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1255967642

Stacy Betts Dickerson, MS, CCC-SLP is a Speech-Language Pathologist in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

701 Olympic Plaza Cir
Tyler, TX 75701-1950
Phone: (903) 596-3136
Fax: (903) 596-3122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 102145 (TX)

Record details

NPI number1255967642
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 17, 2020
Last updated in NPPESMarch 17, 2020
Certification dateMarch 17, 2020

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