Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Dykstra, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1730804535

Amanda Dykstra, MS, CCC-SLP is a Speech-Language Pathologist in Boise, Idaho. Practices as a sole proprietor. Licensed in California, Idaho and North Dakota.

Licensed in
CA, ID, ND
In the registry since
2022
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

9209 W Wakefield St
Boise, ID 83714-6708
Phone: (714) 501-0557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 00003878 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 5014 (ID)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2025 (ND)

Record details

NPI number1730804535
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedOctober 5, 2022
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

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