Loobyloo Therapy Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

SP#2375 Issued in AR

Legal business name

LOOBYLOO THERAPY SERVICES

Practice address

113 Woodberry
Crossett, AR 71635-3926

Phone

(870) 224-3585

Fax

(870) 304-2595

NPI assigned

Oct 25, 2012

Last updated

Oct 25, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Candice Diane Reed, M.S., CCC-SLP

Title

Speech Language Pathologist

Phone

(870) 224-3585

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Rosson, SLP-A

  • Speech-Language Assistant
  • Crossett, AR
  • NPI 1164868196
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1750634820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WOODBERRY",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716353926",
            "telephone_number": "870-224-3585",
            "fax_number": "870-304-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WOODBERRY",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716353926",
            "telephone_number": "870-224-3585",
            "fax_number": "870-304-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOBYLOO THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "870-224-3585",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AR",
            "license": "SP#2375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1104033059",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162452721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zbigniew Jan Kula, M.D.
• Katie Ellen Land, PHARMD
• Kathy Annette Launius, P. T.
• Brandon Lee Lloyd
• Jessica Marie Long, PHARM.D
• William Steve Lynn, D.O.
• Warren F. Macdonald Jr., M.D.
• Robin Mack, LPN
• Mohammad Bilal Malik, MD
• Hannah Martar

• Early Intervention Provider Agency in Crossett, AR
• Providers in Crossett, AR by specialty
• Early Intervention Provider Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.