Provider Demographics
NPI:1174483002
Name:HOMEGROWN SPEECH THERAPY
Entity type:Organization
Organization Name:HOMEGROWN SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLINGSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:573-201-5116
Mailing Address - Street 1:10520 RATTLESNAKE RD
Mailing Address - Street 2:
Mailing Address - City:STOVER
Mailing Address - State:MO
Mailing Address - Zip Code:65078-1022
Mailing Address - Country:US
Mailing Address - Phone:573-201-5116
Mailing Address - Fax:
Practice Address - Street 1:10520 RATTLESNAKE RD
Practice Address - Street 2:
Practice Address - City:STOVER
Practice Address - State:MO
Practice Address - Zip Code:65078-1022
Practice Address - Country:US
Practice Address - Phone:573-201-5116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-13
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty