Organization Name: | KIDS SPOT, LLC |
NPI Number: | 1174845358 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE HALL (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 105 S Blair St Springdale |
State: | AR US |
Postal Code: | 727644410 |
Phone Number: | 4792592339 |
Fax Number: | 4794398600 |
NPI Enumeration Date: | 02/16/2010 |
NPI Last Update Date: | 01/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#1904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |