IndividualActive
Maria Van Dyke
NPI 1992573133 · Supports Brokerage Agency · Kettering, OH
Maria Van Dyke is a Supports Brokerage Agency provider in Kettering, OH (NPI 1992573133).
Provider details
- NPI number
- 1992573133
- Entity type
- Individual
- Primary specialty
- Supports Brokerage AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- 251X00000X (OH)
Practice location
2269 S Dixie Dr
Kettering, OH 45409-2018
Phone: (937) 723-0112
Street-level locationGet directions
Mailing address
1405 Phillips Ave
Dayton, OH 45410-2638
Registry dates
- Enumerated
- 2023-12-18
- Last updated
- 2023-12-18
- Certified
- 2023-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.