Provider Demographics
NPI:1003384611
Name:IT'S MORE THAN SPEECH
Entity Type:Organization
Organization Name:IT'S MORE THAN SPEECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:TOTH
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:907-244-0953
Mailing Address - Street 1:8710 SONORA CIR
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-9403
Mailing Address - Country:US
Mailing Address - Phone:907-244-0953
Mailing Address - Fax:800-645-2157
Practice Address - Street 1:12812 OLD GLENN HWY STE A3
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7003
Practice Address - Country:US
Practice Address - Phone:907-244-0953
Practice Address - Fax:800-645-2157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1615711Medicaid