Organization
DYNAMIC KIDS THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE CADET (OWNER)
(678) 889-3349
Entity
Organization
Contact information
Practice address
5473 N HENRY BLVD STE 4, STOCKBRIDGE, GA 30281-3261
(678) 889-3349
(800) 948-2944
Mailing address
5473 N HENRY BLVD STE 4, STOCKBRIDGE, GA 30281-3261
(678) 889-3349
(800) 948-2944
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003154352B
—
GA
Enumeration date
03/22/2018
Last updated
06/17/2019
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