Amanda Dykstra, M.S., CCC-SLP

NPI 1730804535 · on the registry since 2022 · sole proprietor

Practice

Address: 9209 W Wakefield St
Boise, ID 83714
Phone: (714) 501-0557
Organisation at this address: Amplified Speech And Language Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Also registered as: 235Z00000X
235Z00000X
Licence states on file: ID, ND, CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho