Provider Demographics
NPI:1417494824
Name:BILINGUAL SPEECH THERAPY OF KANSAS LLC
Entity Type:Organization
Organization Name:BILINGUAL SPEECH THERAPY OF KANSAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:316-755-8518
Mailing Address - Street 1:1999 N AMIDON AVE
Mailing Address - Street 2:STE 110
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-2121
Mailing Address - Country:US
Mailing Address - Phone:316-768-6718
Mailing Address - Fax:
Practice Address - Street 1:1999 N AMIDON AVE
Practice Address - Street 2:STE 110
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2121
Practice Address - Country:US
Practice Address - Phone:316-768-6718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2034235Z00000X
KS3410235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty