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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DYLAN WAKE, M.S. CCC-SLP

Active

DYLAN WAKE, M.S. CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in IDAHO FALLS, Idaho. NPI 1215401963 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · IDAHO FALLS, ID

Registration Details

NPI Number
1215401963
Provider Type
Individual
Gender
Male
NPI Issued
Jan 16, 2019 (7.6024610905458 yrs)
Last Updated
Jan 16, 2019
License
SLP-3589 (ID)

Practice Information

Address
3100 CHANNING WAY
IDAHO FALLS, ID, 834047533
Browse ID providers · Browse ZIP 83404
Phone
2085297685
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in IDAHO FALLS, ID

Name Credential NPI
MRS. DEBRA A NILSSON M.S., CCC-SLP 1316977044
JONI L. HOOPES MS CCC-SLP 1285652461
MICHELLE DAHLBERG CCC-SLP 1255353488
VICKI NORTON HULET MS-CCCSLP 1255440939
MRS. SHERI LISA ELKINGTON 1770691834
MRS. KIMBERLY DAWN STOWELL M.S., CCC-SLP 1811007784
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.