Individual
PATTI M VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-SLP
Contact information
Practice address
7427 77TH DR NE, MARYSVILLE, WA 98270-6529
(360) 653-8335
Mailing address
7427 77TH DR NE, MARYSVILLE, WA 98270-6529
(360) 653-8335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60423190
WA
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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