Individual
ANGELIA DYKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
237 N WOODLAND DR, FOREST, MS 39074-3307
(601) 564-8750
Mailing address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 650-0002
(601) 650-9902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-4877
MS
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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