Individual
DR. EMILY DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
441 N 8TH ST, MITCHELL, IN 47446-1020
(812) 849-4481
Mailing address
1256 E ZINNIA DR, BLOOMINGTON, IN 47401-9573
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1587573
IN
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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