Organization
COMMUNICATION DYNASTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH OLIVER SLP (OWNER)
(803) 917-6177
Entity
Organization
Contact information
Practice address
213 WHITE STAG CIR, BLYTHEWOOD, SC 29016-7109
(803) 917-6177
(864) 757-9209
Mailing address
213 WHITE STAG CIR, BLYTHEWOOD, SC 29016-7109
(803) 917-6177
(864) 757-9209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5424
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1443
—
SC
Enumeration date
01/18/2018
Last updated
01/18/2018
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