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Organization

DYSLEXIA ACHIEVEMENT CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICOLE BOYINGTON OTD (OWNER/MEMBER)
(262) 262-6065
Entity
Organization

Contact information

Practice address
910 ELM GROVE RD STE 36, ELM GROVE, WI 53122-2531
(414) 949-1051
Mailing address
910 ELM GROVE RD STE 36, ELM GROVE, WI 53122-2531
(414) 949-1051

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
08/30/2023
Last updated
08/30/2023
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