Organization
THERAPY AND LANGUAGE FOR KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE M. HINGST (OWNER)
(480) 251-5114
Entity
Organization
Contact information
Practice address
771 W LOCUST DR, CHANDLER, AZ 85248-4475
(480) 251-5114
Mailing address
771 W LOCUST DR, CHANDLER, AZ 85248-4475
(480) 251-5114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4749
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113690
—
AZ
Enumeration date
07/22/2008
Last updated
07/22/2008
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