Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA DYKSTRA, M.S., CCC-SLP
Active Sole ProprietorAMANDA DYKSTRA, M.S., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in BOISE, Idaho. NPI 1730804535 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · BOISE, ID
Registration Details
- NPI Number
- 1730804535
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2022 (3.8567007079539 yrs)
- Last Updated
- Oct 5, 2022
- Licenses
-
5014 (ID)2025 (ND)00003878 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9209 W WAKEFIELD STBOISE, ID, 837146708Browse ID providers · Browse ZIP 83714
- Phone
- 7145010557
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| KRISTI LYN BOOTH | OT | 1629052659 |
| BARBRA OSTERHOUT | M.S. | 1609880152 |
| AMBER L. GRESHAM | SPT (SPEECH THERAPIS | 1184795486 |
| DRU A. MILLER | SPEECH THERAPIST | 1215008511 |
| PATRICIA VANDERVELDEN | SPEECH THERAPIST | 1548331853 |
| TIFFANY L. DEAN | ST(SPEECH THERAPIST | 1740351030 |
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.