Individual
DYAN J COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
4875 PALM COAST PKWY NW UNIT 2, PALM COAST, FL 32137-3671
(386) 931-3153
Mailing address
31 PEBBLE BEACH CIR, FLAGLER BEACH, FL 32136-4013
(386) 931-3153
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ9990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109832600
—
FL
Enumeration date
03/08/2021
Last updated
06/28/2021
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