Individual
MS. NICOLE ARLETTE BEALE -VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSLP-A, ITDS
Contact information
Practice address
12485 SW 137TH AVE STE 301, MIAMI, FL 33186-4219
(786) 732-4922
Mailing address
12485 SW 137TH AVE STE 301, MIAMI, FL 33186-4219
(786) 732-4922
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2355S0801X
Speech-Language Assistant
Primary
S11425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SI1425
SPEECH PATHOLOGY ASSISTANT
FL
Enumeration date
08/26/2009
Last updated
09/02/2021
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