Individual
BRITTANY DYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635-9110
(520) 263-3700
Mailing address
105B HANNA ST, FORT HUACHUCA, AZ 85613-1642
(931) 627-3245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP14158
AZ
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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