Individual
DINA M LISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 DUNWOODY PARK STE 125, ATLANTA, GA 30338-7408
(678) 492-2386
Mailing address
5397 TRENTHAM DR, ATLANTA, GA 30338-3050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001978
GA
Other
Enumeration date
03/12/2026
Last updated
04/04/2026
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