Individual
MR. STEVEN JOHN DYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 WILBRAHAM STREET, OFFICE 212, PALMER, MA 01069-2100
(413) 283-6645
(413) 283-6645
Mailing address
90 BEECH ST, PALMER, MA 01069-2100
(413) 283-6645
(413) 283-6645
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL 388
MA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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