Mary Jean J Dyczko CCC/SLP, TSHH, ATP

NPI 1629272448 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1629272448
Gender Female
Enumeration Date 06/14/2007
Last Updated 09/28/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
47-03 168 STREET
FLUSHING NY, 11358, US
Phone (917) 969-1664
Fax
Business Location
47-03 168 STREET
FLUSHING NY, 11358, US
Phone (917) 969-1664
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New York
License Number 008481-1
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According to our database, Ms. Mary Jean J Dyczko CCC/SLP, TSHH, ATP NPI is 1629272448, taxonomy code is 235Z00000X and license number is 008481-1, license state is located at New York. Mary Jean J Dyczko CCC/SLP, TSHH, ATP physically located at 47-03 168 Street, Flushing NY, 11358. NPI Number Mary Jean J Dyczko CCC/SLP, TSHH, ATP has the Individual type.

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1629272448 NPI number is provided on an as is basis without warranty of any kind. 1629272448 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Jean J Dyczko CCC/SLP, TSHH, ATP are for informational purposes only.