Provider Demographics
NPI:1689412330
Name:LITTLE DANDELION SPEECH AND FEEDING THERAPY
Entity type:Organization
Organization Name:LITTLE DANDELION SPEECH AND FEEDING THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP, CLC
Authorized Official - Phone:972-213-4299
Mailing Address - Street 1:9900 SHELBURNE RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-8522
Mailing Address - Country:US
Mailing Address - Phone:972-213-4299
Mailing Address - Fax:
Practice Address - Street 1:9705 TEHAMA RIDGE PKWY
Practice Address - Street 2:SUITE 261
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177
Practice Address - Country:US
Practice Address - Phone:972-213-4299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty