Healthcare Provider Details
I. General information
NPI: 1114682119
Provider Name (Legal Business Name): BETTER TOGETHER SPEECH THERAPY, LCC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/03/2021
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
108 W WASHINGTON ST
WAYNETOWN IN
47990-8022
US
IV. Provider business mailing address
7030 BLAZING TRAIL DR
COLORADO SPRINGS CO
80922-3052
US
V. Phone/Fax
- Phone: 317-340-8285
- Fax:
- Phone: 317-340-8285
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAITLIN
MARTIN
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 317-340-8285