Individual provider · NPI-1
Amber Aeschliman
Speech-Language Pathologist, · Dallas, TX
NPI number1669054193
StatusActive
Last updated in NPPESApr 23, 2021
Details
- NPI
- 1669054193
- Entity type
- Individual (NPI-1)
- Name
- Amber Aeschliman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2021
- Certification date
- Apr 23, 2021
- Last updated
- Apr 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 116878 | TX | Yes |
Other names
- Amber Dykstra (Former Name)
Practice location
14651 Dallas Pkwy Ste 200Dallas, TX 75254-8856
Phone 866-919-3240
Mailing address
9926 E State Highway 243Kaufman, TX 75142-8218
Phone 559-906-5265
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