Provider Demographics
NPI:1265184535
Name:SPEAKING OUTDOORS LLC
Entity type:Organization
Organization Name:SPEAKING OUTDOORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BETTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-462-9019
Mailing Address - Street 1:2500 DOVIE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-6680
Mailing Address - Country:US
Mailing Address - Phone:479-462-9019
Mailing Address - Fax:
Practice Address - Street 1:2500 DOVIE ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-6680
Practice Address - Country:US
Practice Address - Phone:479-462-9019
Practice Address - Fax:479-339-8810
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPEAKING OUTDOORS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty