Individual provider · NPI-1

Dyan J Cole, MS, CF-SLP

Speech-Language Pathologist, · Palm Coast, FL

NPI number1821683210
StatusActive
Last updated in NPPESJun 28, 2021

Details

NPI
1821683210
Entity type
Individual (NPI-1)
Name
Dyan J Cole
Credential
MS, CF-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 8, 2021
Certification date
Jun 28, 2021
Last updated
Jun 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SZ9990FLYes

Practice location

4875 Palm Coast Pkwy Nw Unit 2
Palm Coast, FL 32137-3671

Phone 386-931-3153

Mailing address

31 Pebble Beach Cir
Flagler Beach, FL 32136-4013

Phone 386-931-3153

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