Lysandra Sykes, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Vilas, NC
NPI 1306373154 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1306373154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 12397 (NC)
- Practice address
- 285 Walls Road
Vilas, NC 28692 - Phone
- (336) 462-8619
- NPI assigned
- May 11, 2017
- 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 |
|---|---|---|---|
| 12397 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 12397 | NC | Yes |
Addresses
Primary practice location
285 Walls Road
Vilas, NC 28692
Mailing address
285 Walls Rd
Vilas, NC 28692-8937
Phone (336) 462-8619
Other providers in Vilas, NC
- Olee Joel Olsen
- Emily Ann Proctor
- Shine on Counseling Services PLLC
- Sarah Swann Solberg
- Linda Steele
- Kelly Alicia Wiener
- Elizabeth Wilson
All providers in Vilas, NC · Speech-Language Pathologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. 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.