Organization
DYSPHAGIA CONSULTING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA ROCHELLE RAINES MS CCC-SLP (OWNER)
(305) 469-2195
Entity
Organization
Contact information
Practice address
901 RIGGINS RD APT 136, TALLAHASSEE, FL 32308-6297
(305) 469-2195
Mailing address
901 RIGGINS RD APT 136, TALLAHASSEE, FL 32308-6297
(305) 469-2195
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA9153
SPEECH-LANGUAGE PATHOLOGIST LICENSE
FL
Enumeration date
09/05/2018
Last updated
05/08/2021
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