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NPI Code Detail

MEDICARE: DYLAN TOBIAS SLP

MEDICARE: DYLAN TOBIAS SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist30004667NC

General Provider Information

NPI Number : 1013876655
Entity Type Code : Individual
Provider Name (Legal Business Name) : DYLAN TOBIAS SLP
Provider Business Mailing Address
First Line : 6035 FAIRVIEW RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3256
Country : US
Telephone Number : 704-295-3000
Fax Number : 704-295-3468
Provider Business Practice Location Address
First Line : 6035 FAIRVIEW RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3256
Country : US
Telephone Number : 704-295-3000
Fax Number : 704-295-3468
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ DYLAN TOBIAS SLP” Practice Location

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