Provider Demographics
NPI:1174055099
Name:BUSY BEES PEDIATRIC THERAPY SERVICES, INC.
Entity type:Organization
Organization Name:BUSY BEES PEDIATRIC THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEDGEWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:501-944-6338
Mailing Address - Street 1:1517 LOYOLA DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-6122
Mailing Address - Country:US
Mailing Address - Phone:501-944-6338
Mailing Address - Fax:501-944-6338
Practice Address - Street 1:1517 LOYOLA DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-6122
Practice Address - Country:US
Practice Address - Phone:501-944-6338
Practice Address - Fax:501-944-6338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR149821721Medicaid
AR141080721Medicaid