Provider Demographics
NPI:1164943858
Name:MORE THAN WORDS SPEECH NETWORK, PLLC
Entity Type:Organization
Organization Name:MORE THAN WORDS SPEECH NETWORK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KERI
Authorized Official - Middle Name:BARLOW
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:270-519-4712
Mailing Address - Street 1:329 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-0765
Mailing Address - Country:US
Mailing Address - Phone:270-564-9606
Mailing Address - Fax:270-220-0437
Practice Address - Street 1:329 MADISON ST
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-0765
Practice Address - Country:US
Practice Address - Phone:270-519-4712
Practice Address - Fax:270-220-0437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-03
Last Update Date:2021-11-24
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
KY7100342500Medicaid
KY7100639120Medicaid