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MRS. LISA ANTOINETTE DYKE-HILL MS-CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1790011807

Individual Registrant:
MRS. LISA ANTOINETTE DYKE-HILL MS-CCC-SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
5957 NW 79TH WAY  PARKLAND, FL 33067-1116 US
Tel: 954-931-6011  Fax: --

Contact information for business:
5957 NW 79TH WAY  PARKLAND, FL 33067-1116 US
Tel: 954-931-6011  Fax: --

Registration Information:
NPI: 1790011807
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSA8078

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
IRS205398932FL01




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