Healthcare Provider Details

I. General information

NPI: 1316526205
Provider Name (Legal Business Name): SPEAKING OF SPEECH AND LANGUAGE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2021
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12725 W INDIAN SCHOOL RD STE E115
AVONDALE AZ
85392-9520
US

IV. Provider business mailing address

202 HYDE PARK BLVD STE 300 #1008
CLEBURNE TX
76033-4566
US

V. Phone/Fax

Practice location:
  • Phone: 602-456-7199
  • Fax: 602-742-2739
Mailing address:
  • Phone: 602-456-7199
  • Fax: 602-742-2739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KENEDI GENESY
Title or Position: OWNER, SPEECH LANGUAGE PATHOLOGIST
Credential: CCC-SLP
Phone: 602-456-7199