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NPI Code Detail

MEDICARE: BEYOND WORDS THERAPY SERVICES LLC

MEDICARE: BEYOND WORDS 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
1235Z00000XSpeech-Language Pathologist4866LA

General Provider Information

NPI Number : 1407382369
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEYOND WORDS THERAPY SERVICES LLC
Provider Business Mailing Address
First Line : 123 SAINT ABIGAIL LN
Second Line :
City : WOODWORTH
State : LA
Zip : 71485-4703
Country : US
Telephone Number : 318-419-6167
Fax Number :
Provider Business Practice Location Address
First Line : 123 SAINT ABIGAIL LN
Second Line :
City : WOODWORTH
State : LA
Zip : 71485-4703
Country : US
Telephone Number : 318-419-6167
Fax Number :
Authorized Official
Title or Position : SPEECH-LANGUAGE PATHOLOGIST
Name : MRS. HEATHER DAWN TIBBETT
Credential :
Telephone Number : 318-419-6167
Provider Enumeration Date : 05/11/2017
Last Update Date : 05/11/2017

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Directions to “BEYOND WORDS THERAPY SERVICES LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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