Organization
PRISMATIC SPEECH SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DORMAN MS, CCC-SLP (ORGANIZER)
(336) 609-6258
Entity
Organization
Contact information
Practice address
3407 W WENDOVER AVE STE I, GREENSBORO, NC 27407-1584
(336) 609-6258
Mailing address
2515 WRIGHT AVE, GREENSBORO, NC 27403-1467
(919) 619-9412
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
11841
NC
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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