Provider Demographics
NPI:1821424979
Name:PUZZLE PIECE KIDS
Entity Type:Organization
Organization Name:PUZZLE PIECE KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:972-288-8100
Mailing Address - Street 1:502 W KEARNEY ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-3401
Mailing Address - Country:US
Mailing Address - Phone:972-288-8100
Mailing Address - Fax:800-921-7173
Practice Address - Street 1:502 W KEARNEY ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-3401
Practice Address - Country:US
Practice Address - Phone:972-288-8100
Practice Address - Fax:800-921-7173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health