Individual
SADIE RENEE VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1525 E OVATION PL, WASHINGTON, UT 84780-2759
(208) 399-2072
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12680527-4102
UT
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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