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Individual

EMILY ELLEN DYKSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
3876 EMERALD ESTATES CIR, APOPKA, FL 32703-6731
(407) 928-5378
(407) 522-8293
Mailing address
3876 EMERALD ESTATES CIR, APOPKA, FL 32703-6731
(407) 928-5378
(407) 522-8293

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7153
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
887866800
FL
05
890146500
FL
Enumeration date
12/16/2005
Last updated
12/04/2025
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