Provider Demographics
NPI:1134780877
Name:ROYALTY SPEECH THERAPY OF JOPLIN, LLC
Entity type:Organization
Organization Name:ROYALTY SPEECH THERAPY OF JOPLIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:KOURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:READING
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:918-533-2480
Mailing Address - Street 1:PO BOX 2691
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-2691
Mailing Address - Country:US
Mailing Address - Phone:918-533-2480
Mailing Address - Fax:
Practice Address - Street 1:127 FOREST DR
Practice Address - Street 2:
Practice Address - City:CARL JUNCTION
Practice Address - State:MO
Practice Address - Zip Code:64834-9613
Practice Address - Country:US
Practice Address - Phone:479-925-0915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech