Individual provider · Type 1 NPI

Nicole Van Dycke, M.S. CCC-SLP

Speech-Language Pathologist · Summit, WI

NPI number 1083063002 Active

Practice location

36500 Aurora Dr
Summit, WI 53066-4899

Call (262) 434-1000 Map

Mailing address

7015 Edgewood Ct
Spring Grove, IL 60081-8335

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant 2355S0801X242.003895 (IL)
Speech-Language Pathologist Primary 235Z00000X5023 (WI)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1083063002

Nicole Van Dycke, M.S. CCC-SLP's National Provider Identifier is 1083063002, issued on Jun 9, 2016. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Summit, WI. The record was last updated on Apr 26, 2021.