Organization
COMMUNICATION DYNAMICS PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY MORRIS SCANDRETT CCC-SLP (OWNER)
(478) 746-1037
Entity
Organization
Contact information
Practice address
1385 OGLETHORPE ST, MACON, GA 31201-1511
(478) 746-1037
(478) 746-1642
Mailing address
1385 OGLETHORPE ST, MACON, GA 31201-1511
(478) 746-1037
(478) 746-1642
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005793
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167270852A
—
GA
Enumeration date
01/18/2017
Last updated
01/18/2017
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