Organization Active NPI

Dynamic Speech and Language Services, LLC

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1609239219
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2694 Issued in NM
Legal business name
DYNAMIC SPEECH AND LANGUAGE SERVICES, LLC
Practice address
6817 Cherry Blossom LN NE
Albuquerque, NM 87111-1043
Phone
(505) 220-5839
Fax
(505) 821-5360
NPI assigned
Mar 31, 2016
Last updated
Mar 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Beth C Dwyer, CCC-SLPNPI 1194847467
Title
Speech and Language Pathologist
Phone
(505) 220-5839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2694 NM Primary

Addresses

Primary practice location

6817 Cherry Blossom LN NE
Albuquerque, NM 87111-1043

Mailing address

6817 Cherry Blossom LN NE
Albuquerque, NM 87111-1043
Phone (505) 220-5839

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1609239219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 CHERRY BLOSSOM LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111043",
            "telephone_number": "505-220-5839",
            "fax_number": "505-821-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 CHERRY BLOSSOM LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111043",
            "telephone_number": "505-220-5839",
            "fax_number": "505-821-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPEECH AND LANGUAGE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "505-220-5839",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "2694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.