Provider Demographics
NPI:1497999379
Name:DYNAMIC SPEECH SERVICES LLC
Entity Type:Organization
Organization Name:DYNAMIC SPEECH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:FAMIGLIETTI
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:910-409-6167
Mailing Address - Street 1:702 CUTTER COURT
Mailing Address - Street 2:
Mailing Address - City:KURE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28449-4913
Mailing Address - Country:US
Mailing Address - Phone:910-409-6167
Mailing Address - Fax:
Practice Address - Street 1:702 CUTTER COURT
Practice Address - Street 2:
Practice Address - City:KURE BEACH
Practice Address - State:NC
Practice Address - Zip Code:28449-4913
Practice Address - Country:US
Practice Address - Phone:910-409-6167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8331251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health