Provider Demographics
NPI:1730491523
Name:SPECIALIZED THERAPY RESOURCES, L.L.C.
Entity Type:Organization
Organization Name:SPECIALIZED THERAPY RESOURCES, L.L.C.
Other - Org Name:HEADSTRONG TUTORING, L.L.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:RUTHERFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC/SLP
Authorized Official - Phone:469-348-8691
Mailing Address - Street 1:4301 DRUID LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-1028
Mailing Address - Country:US
Mailing Address - Phone:469-348-8691
Mailing Address - Fax:
Practice Address - Street 1:4301 DRUID LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-1028
Practice Address - Country:US
Practice Address - Phone:469-348-8691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty