Organization · NPI-2

A Brighter Future Therapies And Educational Services

Speech-Language Pathologist, · Kingman, AZ

NPI number1235737784

StatusActive

Last updated in NPPESOct 15, 2020

Details

NPI: 1235737784
Entity type: Organization (NPI-2)
Legal business name: A Brighter Future Therapies And Educational Services
Organization subpart: No
Enumeration date: Oct 15, 2020
Certification date: Oct 15, 2020
Last updated: Oct 15, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
235Z00000X	Speech-Language Pathologist,	–	–	Yes
224Z00000X	Occupational Therapy Assistant	–	–
225X00000X	Occupational Therapist	–	–
2355S0801X	Specialist/Technologist, Speech-Language Assistant	–	–
251E00000X	Home Health	–	–
261QA3000X	Clinic/Center, Augmentative Communication	–	–
261QD1600X	Clinic/Center, Developmental Disabilities	–	–
261QH0700X	Clinic/Center, Hearing and Speech	–	–

Practice location

4594 E Los Pinos Dr
Kingman, AZ 86401-8667

Phone 623-776-6189

Mailing address

Po Box 4124
Kingman, AZ 86402-4124

Phone 623-776-6189

Authorized official

Jennifer Lynn Donahue
Speech- Language Pathologist
6237766189

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