DIETRICH SPEECH & LANGUAGE SERVICES, LLC (NPI# 1760763718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760763718 |
| Entity Type | Organization |
| Organization Name | DIETRICH SPEECH & LANGUAGE SERVICES, LLC |
| Practice Address |
3579 Franklin Tower Dr Mount Pleasant SC 29466-9383 |
| Practice Telephone | 8438109198 |
| Practice Fax Number | 8552793149 |
| Mailing Telephone | 8438109198 |
| Mailing Fax Number | 8552793149 |
| Enumeration Date | 2011-09-05 |
| Last Update Date | 2015-07-15 |
| Authorized Official Name | MRS. KRISTEN L. DIETRICH (OWNER, SPEECH-LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 8438109198 |
| Authorized Official Credential | MS, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 252Y00000X | Early Intervention Provider Agency | 4516 | SC | Agencies |
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
4516 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP5764 | 05 | |
| SC | MEDICAID - SELECT HEALTH | 30099867 | 01 |
| SC | SA1113 | 05 |
| Street Address |
3579 FRANKLIN TOWER DR |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29466-9383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295966794 | Kristen Lankford Dietrich | Speech-Language Pathologist | 3579 Franklin Tower Dr, Mount Pleasant, SC 29466-9383 | 2009-07-31 |
| 1366998486 | Courtney Drumheller | Speech-Language Pathologist | 3579 Franklin Tower Dr, Mount Pleasant, SC 29466-9383 | 2016-08-29 |
| 1104216159 | Lindsay Winchester Eaves | Speech-Language Pathologist | 3579 Franklin Tower Dr, Mount Pleasant, SC 29466-9383 | 2015-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293765 | Cotter Speech and Language Services | Clinic/Center | 1146 Island View Dr, Mount Pleasant, SC 29464-4216 | 2018-04-27 |
| 1912558826 | Accomplish Therapeutics, LLC | Clinic/Center | 1525 Old Village Dr, Mount Pleasant, SC 29464-4941 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965394 | Bloom Language & Literacy Services | Clinic/Center | 1506 Prince St Ste A, Beaufort, SC 29902-4964 | 2020-09-08 |
| 1063037356 | Focused On Feeding, LLC | Clinic/Center | 218 Maple Dr, Anderson, SC 29621-3017 | 2020-06-11 |
| 1073144390 | Clark Speech Therapy Services | Clinic/Center | 2102 Abernathy Dr, Florence, SC 29505-6714 | 2020-01-27 |
| 1538727417 | Earthshine Speech and Language | Clinic/Center | 1 Chick Springs Rd Ste 216a, Greenville, SC 29609-4984 | 2019-06-05 |
| 1528534542 | The Speech Tool-box, LLC | Clinic/Center | 9715 Brandishing Rd, Ladson, SC 29456-4448 | 2018-10-17 |
| 1326520578 | Foundations Speech and Feeding, LLC | Clinic/Center | 105 Perry Bend Cir Apt 208, Easley, SC 29640-7205 | 2018-09-04 |
| 1093296410 | Abbott Ventures, Inc | Clinic/Center | 94 Main St Ste B, Hilton Head Island, SC 29926-1685 | 2018-08-23 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1104353440 | Turtle On A Post Speech, Language, and Feeding Therapy LLC | Clinic/Center | 1622 E North St Ste 8, Greenville, SC 29607-1329 | 2017-05-17 |
| 1124433883 | Greenville Bilingual Therapy | Clinic/Center | 511 Fulton Ct, Greenville, SC 29615-4480 | 2014-06-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29466 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.