Emily Dykstra
Individual provider Active NPI School Psychologist · Mitchell, IN
NPI 1033936661 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1033936661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1587573 (IN)
- Practice address
- 441 N 8TH St
Mitchell, IN 47446-1020 - Phone
- (812) 849-4481
- NPI assigned
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1587573 | IN | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell Community Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1587573 | IN | Yes |
Addresses
Primary practice location
441 N 8TH St
Mitchell, IN 47446-1020
Mailing address
1256 E Zinnia Dr
Bloomington, IN 47401-9573
Other practice location 1
173 Marley St
Orleans, IN 47452-9767
Phone (812) 865-2688
Other providers in Mitchell, IN
- Mary Cook
- Joyce Maria Cooper
- Minghui Deng
- Brittany Devault
- Nicholas Downey
- Stacey R England
- Engleking RX, LLC
- Engleking RX, LLC
- Ryan Engleking
- Mark Evans
All providers in Mitchell, IN · School Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.