Organization
DYNAMIC SPEECH & LANGUAGE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRESHONDA FRAZIER (CEO/OWNER)
(678) 644-9188
Entity
Organization
Contact information
Practice address
3695F CASCADE RD SW # 2292, ATLANTA, GA 30331-2105
(678) 644-9188
(404) 254-5474
Mailing address
3695F CASCADE RD SW # 2292, ATLANTA, GA 30331-2105
(678) 644-9188
(404) 254-5474
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SLP005692
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371023031E
—
GA
Enumeration date
05/08/2012
Last updated
05/08/2012
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