Provider Demographics
NPI:1629693486
Name:FLIGHT SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:FLIGHT SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINIC OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-431-6141
Mailing Address - Street 1:202 N WALTON BLVD STE 34
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-5175
Mailing Address - Country:US
Mailing Address - Phone:479-431-6141
Mailing Address - Fax:479-282-0414
Practice Address - Street 1:202 N WALTON BLVD STE 34
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-5175
Practice Address - Country:US
Practice Address - Phone:479-431-6141
Practice Address - Fax:479-262-0414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty