Provider Demographics
NPI:1972884468
Name:BEYOND SPEECH
Entity Type:Organization
Organization Name:BEYOND SPEECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH-PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-944-5968
Mailing Address - Street 1:13814 ABINGER CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-3735
Mailing Address - Country:US
Mailing Address - Phone:501-944-5968
Mailing Address - Fax:
Practice Address - Street 1:13814 ABINGER CT
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-3735
Practice Address - Country:US
Practice Address - Phone:501-944-5968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARARSP2051235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty