# FULL SPECTRUM THERAPY SERVICES, PLLC

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

## Provider details

- **NPI number:** 1699372888
- **Authorized official:** DR. DIANCA M EDWARDS SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (248) 703-5924

## Contact information

- **Practice address:** 7637 HENDERSON PARK RD, HUNTERSVILLE, NC 28078-6366
- **Practice address phone:** (248) 703-5924
- **Mailing address:** 7637 HENDERSON PARK RD, HUNTERSVILLE, NC 28078-6366
- **Mailing address phone:** (248) 703-5924

## Taxonomy

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

## Other

- **Enumeration date:** 10/01/2020
- **Last updated:** 10/01/2020