Provider Demographics
NPI:1356044622
Name:EAT PLAY COMMUNICATE, LLC
Entity type:Organization
Organization Name:EAT PLAY COMMUNICATE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEVON
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:ANDRA
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:316-706-4591
Mailing Address - Street 1:2313 E SUMMERWOOD ST
Mailing Address - Street 2:
Mailing Address - City:GODDARD
Mailing Address - State:KS
Mailing Address - Zip Code:67052-8658
Mailing Address - Country:US
Mailing Address - Phone:316-706-4591
Mailing Address - Fax:
Practice Address - Street 1:11924 W TAFT ST STE 102
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-1050
Practice Address - Country:US
Practice Address - Phone:316-706-4591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty