Individual
MRS. ANGELA D DYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
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
—
00120631
—
MS
Enumeration date
04/28/2008
Last updated
05/19/2008
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