Provider Demographics
NPI:1982673653
Name:HIGH HOPES PEDIATRIC THERAPY, LLP
Entity Type:Organization
Organization Name:HIGH HOPES PEDIATRIC THERAPY, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:TALKINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-388-1303
Mailing Address - Street 1:2115 FORSYTHE AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3642
Mailing Address - Country:US
Mailing Address - Phone:318-388-1303
Mailing Address - Fax:318-388-1707
Practice Address - Street 1:2115 FORSYTHE AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3642
Practice Address - Country:US
Practice Address - Phone:318-388-1303
Practice Address - Fax:318-388-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3812235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty