Provider Demographics
NPI:1184806960
Name:WORD PLAY, LLC
Entity type:Organization
Organization Name:WORD PLAY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:POTTS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, SLP-CCC
Authorized Official - Phone:602-573-5842
Mailing Address - Street 1:20165 N 67TH AVE
Mailing Address - Street 2:122A
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-7002
Mailing Address - Country:US
Mailing Address - Phone:602-573-5842
Mailing Address - Fax:623-321-1177
Practice Address - Street 1:808 N 4TH AVE UNIT 12
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003
Practice Address - Country:US
Practice Address - Phone:602-573-5842
Practice Address - Fax:623-321-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP 1412251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health