1306697818 NPI number — LIVING WORDS SPEECH THERAPY CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306697818 NPI number — LIVING WORDS SPEECH THERAPY CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LIVING WORDS SPEECH THERAPY CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306697818
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/25/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
821 N COVINGTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WICHITA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67212-6526
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
316-215-4719
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
940 N TYLER RD STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WICHITA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67212-3265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-215-4719
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/01/2024

Additional Information

Authorized Official

Authorized Official Last Name:
MILLSPAUGH
Authorized Official First Name:
JEFFERY
Authorized Official Middle Name:
TYLER
Authorized Official Title or Position:
CO-OWNER/THERAPIST
Authorized Official Telephone Number:
316-215-4719

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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