Healthcare Provider Details

I. General information

NPI: 1477483006
Provider Name (Legal Business Name): SPEECH HAUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 N 50TH ST
FORT SMITH AR
72904-5049
US

IV. Provider business mailing address

2725 N 50TH ST
FORT SMITH AR
72904-5049
US

V. Phone/Fax

Practice location:
  • Phone: 479-414-3621
  • Fax:
Mailing address:
  • Phone: 479-414-3621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MISS NAMTIP SAVATHVONGXAY
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 479-414-3621