| Organization Name: | THERAPY TIME FOR KIDS LLC |
| NPI Number: | 1114204567 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SALLY J. LACROIX (OWNER/ SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | W2544 Buchanan Rd Appleton |
| State: | WI US |
| Postal Code: | 549158751 |
| Phone Number: | 9208403033 |
| Fax Number: | 8888831209 |
| NPI Enumeration Date: | 11/14/2011 |
| NPI Last Update Date: | 11/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2292 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| 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 |