Provider Demographics
NPI:1487864260
Name:MY WORDS PEDIATRIC SPEECH THERAPY SERVICES
Entity Type:Organization
Organization Name:MY WORDS PEDIATRIC SPEECH THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FINNELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:480-200-2937
Mailing Address - Street 1:6045 W CHANDLER BLVD
Mailing Address - Street 2:SUITE 13, PMB 101
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-3440
Mailing Address - Country:US
Mailing Address - Phone:480-200-2937
Mailing Address - Fax:480-773-7874
Practice Address - Street 1:420 N TOWER CT
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-5238
Practice Address - Country:US
Practice Address - Phone:480-200-2937
Practice Address - Fax:480-773-7874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP1507235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ916249OtherAHCCCS IDENTIFICATION