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PERSONAL THERAPY GROUP LLC NPI 1730318288


NPI Information

NPI: 1730318288
Provider Name: PERSONAL THERAPY GROUP, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
100 E 9TH ST
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 404-5870
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PERSONAL THERAPY GROUP, LLC is a speech language pathologist in Mountain Home, AR. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. PERSONAL THERAPY GROUP, LLC NPI is 1730318288. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 E 9TH ST
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 404-5870
Fax: (870) 424-3208

The provider's authorized official is Sarah Ellen Blagg .
The authorized official title is Speech-language Pathologist/owner and has the following contact phone number (870) 404-5870.

The enumeration date for this NPI number is 7/6/2009 and was last updated on 8/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Q00000XDevelopmental TherapistNo
2235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1177740742MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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