Pediatric Therapy Partners LLC
Organization Active NPI Speech-Language Pathologist · Benton, LA
NPI 1477078673 · NPPES record last updated Aug 8, 2017
Key facts
- NPI
- 1477078673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7087 (LA)
- Legal business name
- PEDIATRIC THERAPY PARTNERS LLC
- Practice address
- 16085 Highway 157
Benton, LA 71006-4707 - Phone
- (318) 294-9139
- NPI assigned
- Aug 8, 2017
- Organization subpart
- No
Authorized official
- Name
- Emily Watkins, MCD, CCC-SLP
- Title
- Owner
- Phone
- (318) 294-9139
Practitioners 22
-
Rebekah Cole, DPT
-
Ashlyn Amelia Craig, M.A.,CCC-SLP
-
Katelyn Donaldson, MA, CCC-SLP
-
Emily Fontaine, PT, DPT
-
Evelyn Gaines, SLP
-
Sarah Margaret Hurd, M.S., CF-SLP
-
Mariah Corbell Meleton, LOTR
-
Mara Beth Moore, LOTR
-
Thomas Ryan Moss, LOTR
-
Sarah Rieger, LOTR
National Provider Directory
Locations
1041 Chinaberry Dr
Ste 100
Bossier City, LA 71111
Phone (318) 219-6064
4350 Viking Loop
Ste 1
Bossier City, LA 71111
Phone (318) 746-1199
1919 Fairfield Ave
Shreveport, LA 71101
Phone (318) 222-6123
702 Professional Dr N
Shreveport, LA 71105
Phone (318) 746-1199
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 7087 | LA | Yes |
Addresses
Primary practice location
16085 Highway 157
Benton, LA 71006-4707
Mailing address
16085 Highway 157
Benton, LA 71006-4707
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2384279 | Medicaid | LA |
Other providers in Benton, LA
- Lauren Nelson
- North Bossier Family Medicine
- Cameron Parikh
- Paz Enterprises
- Marc Paz
- Jessica W Perkins
- Jennifer Powell
- Natisha Marie Purvis
- Quinn Therapy and Associates LLC
- Britney Richardson
All providers in Benton, LA · Speech-Language Pathologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.