Organization
DYKES SPEECH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA D. DYKES (OWNER SLP)
(601) 649-3860
Entity
Organization
Contact information
Practice address
161 MAGNOLIA RD, LAUREL, MS 39443-9557
(601) 649-3860
(601) 428-1754
Mailing address
161 MAGNOLIA RD, LAUREL, MS 39443-9557
(601) 649-3860
(601) 428-1754
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2139
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015335
—
MS
Enumeration date
05/16/2007
Last updated
08/22/2020
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