IndividualActive
Amanda Dykstra, M.S., CCC-SLP
NPI 1730804535 · Speech-Language Pathologist · Boise, ID
Provider details
- NPI number
- 1730804535
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5014 (ID)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Practice location
9209 W Wakefield St
Boise, ID 83714-6708
Phone: (714) 501-0557
Approximate (ZIP-level) locationGet directions
Mailing address
9209 W Wakefield St
Boise, ID 83714-6708
Registry dates
- Enumerated
- 2022-10-05
- Last updated
- 2022-10-05
- Certified
- 2022-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.