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NPI Code Detail

MEDICARE: SHARON VAN DYKE SLP

MEDICARE:   SHARON  VAN DYKE  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
1235Z00000XSpeech-Language Pathologist5744NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114313OTHERNCBCBS PIN

General Provider Information

NPI Number : 1588864128
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON VAN DYKE SLP
Provider Business Mailing Address
First Line : 6 YORKSHIRE ST STE D
Second Line :
City : ASHEVILLE
State : NC
Zip : 28803-2768
Country : US
Telephone Number : 828-417-7085
Fax Number : 828-417-7059
Provider Business Practice Location Address
First Line : 6 YORKSHIRE ST STE D
Second Line :
City : ASHEVILLE
State : NC
Zip : 28803-2768
Country : US
Telephone Number : 828-273-4852
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2007
Last Update Date : 10/29/2025

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Directions to “ SHARON VAN DYKE SLP” Practice Location

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