# PEDIATRIC EARLY INTERVENTION & DEVELOPMENTAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pediatric Developmental Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750155974
- **Authorized official:** DR. DELESLINE MILLER ED.D (OWNER)
- **Authorized official phone:** (843) 437-4597

## Contact information

- **Practice address:** 3786 LADSON ROAD, LADSON, SC 29456
- **Practice address phone:** (843) 284-9929
- **Mailing address:** 8421 DORCHESTER RD, SUITE 109 PMB 341, NORTH CHARLESTON, SC 29420-7387
- **Mailing address phone:** (843) 437-4597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2023
- **Last updated:** 11/08/2023