| Organization Name: | BRIDGING THE GAP SPEECH THERAPY, LLC |
| NPI Number: | 1720315088 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLE DENISE WALKER (SOLE OWNER) |
| Mailing Address: | 4101 S Chatfield Rd Bauxite |
| State: | AR US |
| Postal Code: | 720119012 |
| Phone Number: | 5013502770 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2009 |
| NPI Last Update Date: | 11/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0700X |
| License Number: | SP#2130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Hearing and Speech |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |