Provider Demographics
NPI:1700440971
Name:BEYOND TALKING SPEECH THERAPY
Entity Type:Organization
Organization Name:BEYOND TALKING SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:MANION
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:502-445-9437
Mailing Address - Street 1:136 BLUFFS EDGE CT
Mailing Address - Street 2:
Mailing Address - City:MT WASHINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40047-6810
Mailing Address - Country:US
Mailing Address - Phone:502-445-9437
Mailing Address - Fax:502-251-4580
Practice Address - Street 1:136 BLUFFS EDGE CT
Practice Address - Street 2:
Practice Address - City:MT WASHINGTON
Practice Address - State:KY
Practice Address - Zip Code:40047-6810
Practice Address - Country:US
Practice Address - Phone:502-445-9437
Practice Address - Fax:502-251-4580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-23
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY140509OtherSTATE LICENSE BOARD SLP