Individual
CHRIS DYKHUISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12799 N KERN RD, SYRACUSE, IN 46567-1499
(574) 457-4484
Mailing address
19474 OZINGA DR, NEW PARIS, IN 46553-9666
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1616361
IN
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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