Healthcare Provider Details

I. General information

NPI: 1841106879
Provider Name (Legal Business Name): DYNAMIC COMMUNICATION SPEECH THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 PERRY ST
MILPITAS CA
95035-5714
US

IV. Provider business mailing address

361 PERRY ST
MILPITAS CA
95035-5714
US

V. Phone/Fax

Practice location:
  • Phone: 925-452-7465
  • Fax:
Mailing address:
  • Phone: 925-452-7465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SHIVANI N BHAKTA
Title or Position: PRESIDENT/OWNER
Credential: M.S. CCC-SLP
Phone: 925-452-7465