Organization Name: | CREATIVE LEARNING THERAPY |
NPI Number: | 1184948093 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARAH BETH COKER (OWNER/SPEECH PATHOLOGIST) |
Mailing Address: | 262 Southwest Dr Jonesboro |
State: | AR US |
Postal Code: | 724015829 |
Phone Number: | 8703360220 |
Fax Number: | 8703360221 |
NPI Enumeration Date: | 03/22/2010 |
NPI Last Update Date: | 03/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#2522 |
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 |