Provider Demographics
NPI:1083358329
Name:BEYOND WORDS THERAPY CLINIC, PLLC
Entity Type:Organization
Organization Name:BEYOND WORDS THERAPY CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:731-238-1624
Mailing Address - Street 1:5120 TELECOM DR STE I
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:TN
Mailing Address - Zip Code:38358-3496
Mailing Address - Country:US
Mailing Address - Phone:731-238-1624
Mailing Address - Fax:
Practice Address - Street 1:5120 TELECOM DR STE I
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:TN
Practice Address - Zip Code:38358-3496
Practice Address - Country:US
Practice Address - Phone:731-238-1624
Practice Address - Fax:731-240-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty