Organization
BEYOND EXPECTATIONS SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE NICESCHWANDER M.S., CCC-SLP (OWNER)
(623) 282-5747
Entity
Organization
Contact information
Practice address
16062 W HARVARD ST, GOODYEAR, AZ 85395-7560
(623) 282-5747
Mailing address
16062 W HARVARD ST, GOODYEAR, AZ 85395-7560
(623) 282-5747
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
08/03/2023
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