Organization Name: | KIDZ CONNECTION |
NPI Number: | 1467842211 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACEE RAINEY (CO-OWNER) |
Mailing Address: | 5307 John F Kennedy Blvd North Little Rock |
State: | AR US |
Postal Code: | 721166703 |
Phone Number: | 5014008663 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2015 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |