Organization
PEDIATRIC EARLY INTERVENTION & DEVELOPMENTAL SERVICES
Active
Other names
Pediatric Developmental Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELESLINE MILLER ED.D (OWNER)
(843) 437-4597
Entity
Organization
Contact information
Practice address
3786 LADSON ROAD, LADSON, SC 29456
(843) 284-9929
Mailing address
8421 DORCHESTER RD, SUITE 109 PMB 341, NORTH CHARLESTON, SC 29420-7387
(843) 437-4597
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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