Provider Demographics
NPI:1619709714
Name:SUNFLOWER SPEECH & FEEDING LLC
Entity type:Organization
Organization Name:SUNFLOWER SPEECH & FEEDING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:SWINDLE
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:479-616-6088
Mailing Address - Street 1:905 PEAK ST
Mailing Address - Street 2:
Mailing Address - City:CAVE SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72718-7108
Mailing Address - Country:US
Mailing Address - Phone:479-616-6088
Mailing Address - Fax:479-351-0521
Practice Address - Street 1:820 S WALTON BLVD STE 15
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-6269
Practice Address - Country:US
Practice Address - Phone:479-616-6088
Practice Address - Fax:479-351-0521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty