Provider Demographics
NPI:1770090342
Name:DYNAMIC SPEECH, LLC
Entity type:Organization
Organization Name:DYNAMIC SPEECH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DRESSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-801-7172
Mailing Address - Street 1:3113 BALSAM CT
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:41017-3334
Mailing Address - Country:US
Mailing Address - Phone:859-801-7172
Mailing Address - Fax:
Practice Address - Street 1:3113 BALSAM CT
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-3334
Practice Address - Country:US
Practice Address - Phone:859-801-7172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2067KY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty