Organization Name: | KIDZ THERAPY ZONE |
NPI Number: | 1740601954 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JILL CHRISTIANSEN (OWNER) |
Mailing Address: | 1101 Central Expy S Suite 185 Allen |
State: | TX US |
Postal Code: | 750138062 |
Phone Number: | 2145096961 |
Fax Number: | 2143820943 |
NPI Enumeration Date: | 12/16/2013 |
NPI Last Update Date: | 12/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 106394 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |