NPI 1235737784 · live from the CMS NPI Registry
A Brighter Future Therapies And Educational Services
Speech-Language Pathologist, in Kingman, AZ. National Provider Identifier 1235737784, active.
NPI record
| NPI | 1235737784 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 4594 E Los Pinos Dr, Kingman, AZ 86401 |
| Practice phone | 623-776-6189 |
| Mailing address | Po Box 4124, Kingman, AZ 86402 |
| Enumerated | October 15, 2020 |
| Last updated | October 15, 2020 |
| Authorized official | Jennifer Donahue, Speech- Language Pathologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | — |
| Occupational Therapist | 225X00000X | — |
| Specialist/Technologist, Speech-Language Assistant | 2355S0801X | — |
| Home Health | 251E00000X | — |
| Clinic/Center, Augmentative Communication | 261QA3000X | — |
| Clinic/Center, Developmental Disabilities | 261QD1600X | — |
| Clinic/Center, Hearing and Speech | 261QH0700X | — |
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.