Provider Demographics
NPI:1043088370
Name:ABOVE AND BEYOND PEDIATRIC THERAPY SERVICES PLLC
Entity type:Organization
Organization Name:ABOVE AND BEYOND PEDIATRIC THERAPY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPE
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:318-423-7536
Mailing Address - Street 1:2309 GILMER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-2133
Mailing Address - Country:US
Mailing Address - Phone:318-423-7536
Mailing Address - Fax:903-470-7322
Practice Address - Street 1:2309 GILMER RD
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-2133
Practice Address - Country:US
Practice Address - Phone:318-423-7536
Practice Address - Fax:903-470-7322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-15
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty