Dyckes, Ryan Kendall

Dyckes, Ryan Kendall is an individual health care provider with primary practice located at 1201 S Interstate 35 Ste 105 , Round Rock TX 78664-6646. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dyckes, Ryan Kendall can be contacted via phone (512) 310-7665.

Contact Information

Primary practice address
1201 S Interstate 35 Ste 105 Round Rock TX 78664-6646
Fax: (512) 310-9228
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1177088 Texas

Profile Details

NPI number 1588270193
LBN Legal business name Dyckes, Ryan Kendall
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2020
Last updated Sep 18th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588270193 NPPES
Texas MEDICAID 094474602

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