Individual
AKYKO WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STA
Contact information
Practice address
18001 OLD CUTLER RD, SUITE 354, PALMETTO BAY, FL 33157-6422
(305) 251-7477
Mailing address
2188 BREWSTER DR, SUITE 637, MYRTLE BEACH, SC 29577-1750
(305) 297-4106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5012
SC
235Z00000X
Speech-Language Pathologist
SA 11035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8882622000
—
FL
Enumeration date
07/13/2007
Last updated
09/06/2014
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