Dylan Wake, M.S. CCC-SLP
NPI #1215401963 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1215401963
- Entity Type
- Individual
- Name
- Dylan Wake, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Jan 16, 2019
- Last Updated
- Jan 16, 2019
Practice Location
- Address
- 3100 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7533
- Phone
- (208) 529-7685
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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