Provider Demographics
NPI:1114723392
Name:ALLISONS SPEECH THERAPY FOR KIDS LLC
Entity type:Organization
Organization Name:ALLISONS SPEECH THERAPY FOR KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-423-1870
Mailing Address - Street 1:1109 CALLE LAGO CT
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-6434
Mailing Address - Country:US
Mailing Address - Phone:318-423-1870
Mailing Address - Fax:
Practice Address - Street 1:1109 CALLE LAGO CT
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-6434
Practice Address - Country:US
Practice Address - Phone:318-423-1870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty