Emily Dykstra Ma, Ccc-Slp Inc.

LBN: Emily Dykstra Ma, Ccc-Slp Inc.
Emily Dykstra Ma, Ccc-Slp Inc. is an health care organization with primary practice located at 1146 Woodland Terrace Trl , Altamonte Springs FL 32714-1805. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Emily Dykstra Ma, Ccc-Slp Inc. can be contacted via phone (407) 928-5378, or through Dykstra, Emily Ellen via phone (407) 928-5378.

Contact Information

Primary practice address
1146 Woodland Terrace Trl Altamonte Springs FL 32714-1805
Phone: (407) 928-5378
Fax: (407) 522-8293
Website:
Map and Directions
Authorized official contact:
Name: Dykstra, Emily Ellen MA, CCC-SLP
Phone: (407) 928-5378

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA7153 Florida

Profile Details

NPI number 1477813129
LBN Legal business name Emily Dykstra Ma, Ccc-Slp Inc.
DBA Doing business as
Authorized official Dykstra, Emily Ellen MA, CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2012
Last updated May 29th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477813129 NPPES
Florida MEDICAID 890146500

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