=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790914208
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SPEECHWORKS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2009
-----------------------------------------------------
Last Update Date | 01/21/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2600 LINDA LN SUITE 5
-----------------------------------------------------
City | EDMOND
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73013-3735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-330-2223
-----------------------------------------------------
Fax | 888-413-8891
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2600 LINDA LN SUITE 5
-----------------------------------------------------
City | EDMOND
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73013-3735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-330-2223
-----------------------------------------------------
Fax | 888-413-8891
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRESIDENT
-----------------------------------------------------
Name | CARMEN LYNN JONES
-----------------------------------------------------
Credential | M.S., CCC-SLP
-----------------------------------------------------
Telephone | 405-330-2223
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 928
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------