Communication Dynasty, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5424 Issued in SC

Legal business name

COMMUNICATION DYNASTY, LLC

Practice address

213 White Stag Cir
Blythewood, SC 29016-7109

Phone

(803) 917-6177

Fax

(864) 757-9209

NPI assigned

Jan 18, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Oliver, SLP

Title

Owner

Phone

(803) 917-6177

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1184132672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 WHITE STAG CIR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167109",
            "telephone_number": "803-917-6177",
            "fax_number": "864-757-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WHITE STAG CIR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167109",
            "telephone_number": "803-917-6177",
            "fax_number": "864-757-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNICATION DYNASTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-917-6177",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA1443",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Blythewood, SC
• Providers in Blythewood, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.