Dynamic Speech & Language Services, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

SLP005692 Issued in GA

Legal business name

DYNAMIC SPEECH & LANGUAGE SERVICES, INC

Practice address

3695F Cascade Rd SW # 2292
Atlanta, GA 30331-2105

Phone

(678) 644-9188

Fax

(404) 254-5474

NPI assigned

May 8, 2012

Last updated

May 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Treshonda FrazierNPI 1306094347

Title

Ceo/Owner

Phone

(678) 644-9188

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Treshonda Frazier

  • Speech-Language Pathologist
  • Atlanta, GA
  • NPI 1306094347
  Authorized official Same address or phone

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1477812600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695F CASCADE RD SW # 2292",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312105",
            "telephone_number": "678-644-9188",
            "fax_number": "404-254-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695F CASCADE RD SW # 2292",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312105",
            "telephone_number": "678-644-9188",
            "fax_number": "404-254-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPEECH & LANGUAGE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "TRESHONDA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "678-644-9188"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": "SLP005692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371023031E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dynamex Logistics Group (Dynamex Home Health Care and Transport)
• Dynamic 1 Medical and Rehab Clinic
• Dynamic Change
• Dynamic Counseling and Solutions LLC
• Dynamic Learning Centers
• Dynamik Community Partners, LLC
• Iana G. Dzagnidze, M.D.
• Cynthya Dzialo, CLD, CHBE
• Justin Tyler Dzierzawski, MD
• Eric Dziuban, M.D.

• Early Intervention Provider Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.