Provider Demographics
NPI:1942186549
Name:DYER, TERRYN (SLPA)
Entity type:Individual
Prefix:
First Name:TERRYN
Middle Name:
Last Name:DYER
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 SAND LAKE RD STE 266
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-7748
Mailing Address - Country:US
Mailing Address - Phone:321-445-1287
Mailing Address - Fax:
Practice Address - Street 1:730 SAND LAKE RD STE 266
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-7748
Practice Address - Country:US
Practice Address - Phone:321-445-1287
Practice Address - Fax:407-386-7448
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI8015235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist