Provider Demographics
NPI:1952954083
Name:KIDZ SPEECH & BEYOND, PLLC
Entity type:Organization
Organization Name:KIDZ SPEECH & BEYOND, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAKAJAI
Authorized Official - Middle Name:HILL
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:252-945-6220
Mailing Address - Street 1:4004 JARED CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-8340
Mailing Address - Country:US
Mailing Address - Phone:252-945-6220
Mailing Address - Fax:252-752-4854
Practice Address - Street 1:4004 JARED CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-8340
Practice Address - Country:US
Practice Address - Phone:252-945-6220
Practice Address - Fax:252-752-4854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty