Provider Demographics
NPI:1336962851
Name:FUNCTION FIRST LLC
Entity type:Organization
Organization Name:FUNCTION FIRST LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, SLP
Authorized Official - Prefix:MRS
Authorized Official - First Name:MADILYN
Authorized Official - Middle Name:LITTLEFIELD
Authorized Official - Last Name:METCALF
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:479-936-6184
Mailing Address - Street 1:5 CASHIN LN
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72715-4957
Mailing Address - Country:US
Mailing Address - Phone:479-936-6184
Mailing Address - Fax:
Practice Address - Street 1:5 CASHIN LN
Practice Address - Street 2:
Practice Address - City:BELLA VISTA
Practice Address - State:AR
Practice Address - Zip Code:72715-4957
Practice Address - Country:US
Practice Address - Phone:479-936-6184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty