MEDICARE: MAUREEN DYKINGA M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	LL61193727	WA

General Provider Information

NPI Number	:	1285848150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN DYKINGA M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	526 1ST AVE S APT 524
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2863
Country	:	US
Telephone Number	:	520-237-2850
Fax Number	:

Provider Business Practice Location Address
First Line	:	526 1ST AVE S APT 524
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2863
Country	:	US
Telephone Number	:	520-237-2850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	12/17/2025

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Directions to “ MAUREEN DYKINGA M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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