Organization
DIETRICH SPEECH & LANGUAGE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN L. DIETRICH MS, CCC-SLP (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(843) 810-9198
Entity
Organization
Contact information
Practice address
3579 FRANKLIN TOWER DR, MOUNT PLEASANT, SC 29466-9383
(843) 810-9198
(855) 279-3149
Mailing address
3579 FRANKLIN TOWER DR, MOUNT PLEASANT, SC 29466-9383
(843) 810-9198
(855) 279-3149
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
4516
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30099867
MEDICAID - SELECT HEALTH
SC
05
—
GP5764
—
SC
05
—
SA1113
—
SC
Enumeration date
09/05/2011
Last updated
03/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us