Individual
MRS. ANN L. DYBVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1121 HERITAGE DR, NORTHFIELD, MN 55057-3152
(507) 645-1673
Mailing address
1121 HERITAGE DR, NORTHFIELD, MN 55057-3152
(507) 645-1673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9256
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42689400
—
WI
01
—
4600982
MEDICA
—
01
—
641671046996
PREFERRED ONE
—
01
—
98G08DY
BCBS MN
MN
01
—
HP65834
HEALTH PARTNERS
—
Enumeration date
10/10/2006
Last updated
07/13/2015
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