Doctor Name: | MR. DAVID PAYNE DYKES |
NPI Number: | 1114287109 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 00-0075 |
Business Practice Address: | 235 S Treating Plant Rd De Queen, AR - 718322909 |
Business Phone Number: | 8706423100 |
Business Fax Number: | |
Mailing Address: | 111 Marcone Dr, DE QUEEN |
State: | AR |
Postal Code: | 718324030 |
Phone Number: | 8707843756 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2012 |
NPI Last Update Date: | 05/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 00-0075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |