Provider Demographics
NPI:1235817255
Name:A PLUS THERAPY GROUP
Entity Type:Organization
Organization Name:A PLUS THERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DORTHEEN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC
Authorized Official - Phone:901-870-7997
Mailing Address - Street 1:3670 COLLEGE BLF
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-5846
Mailing Address - Country:US
Mailing Address - Phone:901-870-7997
Mailing Address - Fax:
Practice Address - Street 1:10840 DESOTO RD
Practice Address - Street 2:SUITE 102 & 104
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654
Practice Address - Country:US
Practice Address - Phone:901-870-7997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty