Provider Demographics
NPI:1164696738
Name:A PIECE OF THE PUZZLE THERAPY INC
Entity Type:Organization
Organization Name:A PIECE OF THE PUZZLE THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BUFFY
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:719-290-5869
Mailing Address - Street 1:601 N BELAIR SQ
Mailing Address - Street 2:SUITE 19
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-4321
Mailing Address - Country:US
Mailing Address - Phone:710-290-5869
Mailing Address - Fax:888-502-7262
Practice Address - Street 1:601 N BELAIR SQ
Practice Address - Street 2:SUITE 19
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-4321
Practice Address - Country:US
Practice Address - Phone:710-290-5869
Practice Address - Fax:888-502-7262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003128389AMedicaid
CO82022020Medicaid
GA003128389AMedicaid