Provider Demographics
NPI:1558984153
Name:PLAY ON WORDS PEDIATRIC SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:PLAY ON WORDS PEDIATRIC SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP
Authorized Official - Prefix:MRS
Authorized Official - First Name:CORI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MOSIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:316-409-3771
Mailing Address - Street 1:5816 KENAWEE ST
Mailing Address - Street 2:
Mailing Address - City:BEL AIRE
Mailing Address - State:KS
Mailing Address - Zip Code:67220-1878
Mailing Address - Country:US
Mailing Address - Phone:316-409-3771
Mailing Address - Fax:316-330-3747
Practice Address - Street 1:5816 KENAWEE ST
Practice Address - Street 2:
Practice Address - City:BEL AIRE
Practice Address - State:KS
Practice Address - Zip Code:67220-1878
Practice Address - Country:US
Practice Address - Phone:316-409-3771
Practice Address - Fax:316-330-3747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty