Individual
ALEXANDRA VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 S FERDON BLVD STE A1, CRESTVIEW, FL 32536-5287
(850) 682-8388
Mailing address
1950 BISCAYNE BLVD, NAVARRE, FL 32566-2925
(850) 781-4334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ10823
FL
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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