| Dynamic Therapy | |
|
2599 Oak St, East Point, GA 30344-3026 | |
| (202) 743-3748 | |
| Not Available |
| Full Name | Dynamic Therapy |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 2599 Oak St, East Point, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750920278 | NPI | - | NPPES |
| 015538675 | Medicaid | DC | |
| 713046500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Darius Laron Thomas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104394790 PECOS PAC ID: 7911389515 Enrollment ID: I20220728003556 |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Therapy 2599 Oak St, East Point, GA 30344-3026 Ph: (404) 576-8145 | Dynamic Therapy 2599 Oak St, East Point, GA 30344-3026 Ph: (202) 743-3748 |
Gwendolyn Izell, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2479 W Woodland Cir, East Point, GA 30344 Phone: 404-242-5877 | |
Mr. Stephon J Colbert, M.S CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3675 Marketplace Blvd # 5033, East Point, GA 30344 Phone: 770-627-7391 | |
Danielle Mcgowan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3645 Marketplace Blvd, Suite 130-635, East Point, GA 30344 Phone: 678-793-0624 Fax: 184-472-2701 | |
Destiny Lacara Mack, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3485 N Desert Dr Ste 105, East Point, GA 30344 Phone: 678-724-7033 | |
Lindsay Ann Ratcliffe, M.ED. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1514 Cleveland Ave, East Point, GA 30344 Phone: 678-608-9601 | |
Darius Laron Thomas, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2599 Oak St, East Point, GA 30344 Phone: 225-806-1769 | |
Jemia Elaine Jones, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 110 Crest Ridge Dr, East Point, GA 30344 Phone: 404-275-1023 |