MEDICARE: SPEECH HAUS 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

General Provider Information

NPI Number	:	1477483006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH HAUS LLC

Provider Business Mailing Address
First Line	:	2725 N 50TH ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72904-5049
Country	:	US
Telephone Number	:	479-414-3621
Fax Number	:

Provider Business Practice Location Address
First Line	:	2725 N 50TH ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72904-5049
Country	:	US
Telephone Number	:	479-414-3621
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	MISS NAMTIP SAVATHVONGXAY
Credential	:	MS, CCC-SLP
Telephone Number	:	479-414-3621

Provider Enumeration Date	:	05/23/2026
Last Update Date	:	05/23/2026

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Directions to “SPEECH HAUS LLC ” Practice Location

Language	Start Address	Practice Location

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