Provider Demographics
NPI:1497379838
Name:SPRINKLES SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:SPRINKLES SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNNY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:972-415-4441
Mailing Address - Street 1:8951 COLLIN MCKINNEY PKWY STE 1103
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-1035
Mailing Address - Country:US
Mailing Address - Phone:972-415-4441
Mailing Address - Fax:469-678-8071
Practice Address - Street 1:8951 COLLIN MCKINNEY PKWY STE 1103
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-1035
Practice Address - Country:US
Practice Address - Phone:972-415-4441
Practice Address - Fax:469-678-8071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-02
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty