Individual
JERI MARLENE FYOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
13300 HICKMAN RD STE 110, CLIVE, IA 50325-8616
(515) 987-8835
(515) 987-4637
Mailing address
912 JAMES RDG, CRESTON, IA 50801-1059
(641) 247-9252
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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