Provider Demographics
NPI:1396096806
Name:LITTLE VOICES PEDIATRIC THERAPY
Entity type:Organization
Organization Name:LITTLE VOICES PEDIATRIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SHELDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-607-1345
Mailing Address - Street 1:226 SE DOUGLAS ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-2329
Mailing Address - Country:US
Mailing Address - Phone:816-607-1345
Mailing Address - Fax:816-581-3738
Practice Address - Street 1:226 SE DOUGLAS ST
Practice Address - Street 2:SUITE 205
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2329
Practice Address - Country:US
Practice Address - Phone:816-607-1345
Practice Address - Fax:816-581-3738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008014951235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty