| Organization Name: | DYNAMIC THERAPY SOLUTIONS LLC |
| NPI Number: | 1265711998 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA CAROL SANDOVAL (CO-OWNER/ SPEECH PATHOLOGIST) |
| Mailing Address: | 3166 E Palmdale Blvd Suite 112 Palmdale |
| State: | CA US |
| Postal Code: | 935505037 |
| Phone Number: | 6612748454 |
| Fax Number: | 6612747614 |
| NPI Enumeration Date: | 08/11/2011 |
| NPI Last Update Date: | 08/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 11463 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |