Organization
PEDIATRIC SPEECH THERAPY, LLC
Active
Other names
SMALL TALK WICHITA
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CAITLIN SMITH SLP (OWNER)
(316) 210-5907
Entity
Organization
Contact information
Practice address
3707 E 3RD ST N, WICHITA, KS 67208-3230
(316) 210-5907
Mailing address
3700 E DOUGLAS AVE, STE 55, WICHITA, KS 67208-3700
(316) 210-5907
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
2603
KS
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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