Provider Demographics
NPI:1346339306
Name:THERAPY PROVIDERS, P.A.
Entity Type:Organization
Organization Name:THERAPY PROVIDERS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LURA
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:501-603-9976
Mailing Address - Street 1:6705 W 12TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-1515
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:501-603-9474
Practice Address - Street 1:6705 W 12TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-1515
Practice Address - Country:US
Practice Address - Phone:501-603-9976
Practice Address - Fax:501-603-9474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
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
AR5C659OtherBLUE CROSS/BLUE SHIELD