MEDICARE: HAND-IN-HAND SPEECH AND LANGUAGE THERAPY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	4278	AR

General Provider Information

NPI Number	:	1285136069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND-IN-HAND SPEECH AND LANGUAGE THERAPY SERVICES, LLC

Provider Business Mailing Address
First Line	:	505 TUSCANY CIR
Second Line	:
City	:	MAUMELLE
State	:	AR
Zip	:	72113-7449
Country	:	US
Telephone Number	:	985-703-1002
Fax Number	:

Provider Business Practice Location Address
First Line	:	10801 PAUL EELLS DR
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72113-7608
Country	:	US
Telephone Number	:	985-703-1002
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	LINZI COBB
Credential	:	M.S., CCC-SLP
Telephone Number	:	985-703-1002

Provider Enumeration Date	:	03/07/2018
Last Update Date	:	10/08/2018

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Directions to “HAND-IN-HAND SPEECH AND LANGUAGE THERAPY SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

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