Provider Demographics
NPI:1376102533
Name:NORTHLAND SPEECH AND LANGUAGE THERAPY, LLC
Entity Type:Organization
Organization Name:NORTHLAND SPEECH AND LANGUAGE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVELADY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:816-797-9690
Mailing Address - Street 1:13418 OAKBROOK DR
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:MO
Mailing Address - Zip Code:64060-8093
Mailing Address - Country:US
Mailing Address - Phone:816-797-9690
Mailing Address - Fax:806-903-9999
Practice Address - Street 1:302 S PLATTE CLAY WAY STE 111
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:MO
Practice Address - Zip Code:64060-8816
Practice Address - Country:US
Practice Address - Phone:816-797-9690
Practice Address - Fax:816-903-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty