Provider Demographics
NPI:1861282535
Name:VAN DYKE, VICTORIA JANE
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:JANE
Last Name:VAN DYKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15384 MYSTIC CIR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-2788
Mailing Address - Country:US
Mailing Address - Phone:517-759-8897
Mailing Address - Fax:517-759-8897
Practice Address - Street 1:1500 ABBOT RD STE 150
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-1223
Practice Address - Country:US
Practice Address - Phone:517-332-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist