Healthcare Provider Details

I. General information

NPI: 1518681253
Provider Name (Legal Business Name): MORE THAN WORDS SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 09/29/2023
Certification Date: 09/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3002 N 70TH ST UNIT 209
SCOTTSDALE AZ
85251-6339
US

IV. Provider business mailing address

7258 E CORONADO RD
SCOTTSDALE AZ
85257-1407
US

V. Phone/Fax

Practice location:
  • Phone: 602-299-7475
  • Fax:
Mailing address:
  • Phone: 602-299-7475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KALEE KOBURI
Title or Position: SLP/OWNER
Credential: M.A.ED. CCC-SLP, CLC
Phone: 602-299-7475