Provider Demographics
NPI:1710357470
Name:LIGHTHOUSE LANGUAGE SOLUTIONS
Entity Type:Organization
Organization Name:LIGHTHOUSE LANGUAGE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOERING
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:816-305-4845
Mailing Address - Street 1:3707 NE CHAPEL DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1928
Mailing Address - Country:US
Mailing Address - Phone:816-305-4845
Mailing Address - Fax:
Practice Address - Street 1:3707 NE CHAPEL DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1928
Practice Address - Country:US
Practice Address - Phone:816-305-4845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010026617235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty