# PRISMATIC SPEECH SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548789787
- **Authorized official:** KEVIN DORMAN MS, CCC-SLP (ORGANIZER)
- **Authorized official phone:** (336) 609-6258

## Contact information

- **Practice address:** 3407 W WENDOVER AVE STE I, GREENSBORO, NC 27407-1584
- **Practice address phone:** (336) 609-6258
- **Mailing address:** 2515 WRIGHT AVE, GREENSBORO, NC 27403-1467
- **Mailing address phone:** (919) 619-9412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | 11841 | NC | Yes |

## Other

- **Enumeration date:** 09/19/2017
- **Last updated:** 09/19/2017