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Individual

AMY J DYAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP/L

Contact information

Practice address
12450 ESSINGTON RD, PLAINFIELD, IL 60585-9404
(815) 577-3606
Mailing address
16632 W DEERWOOD DR, LOCKPORT, IL 60441-6108

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146007582
IN

Other

Enumeration date
12/08/2017
Last updated
12/08/2017
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