1265904551 NPI number — MORE THAN WORDS SPEECH PATHOLOGY, LLC

Table of content: ALFREDO AYALA DIAZ M.D. (NPI 1518317692)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265904551 NPI number — MORE THAN WORDS SPEECH PATHOLOGY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MORE THAN WORDS SPEECH PATHOLOGY, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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NPI Number Information

NPI Number:
1265904551
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/26/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9850 N MICHIGAN RD STE D
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARMEL
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46032-7944
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9850 N MICHIGAN RD STE D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARMEL
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46032-7944
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-946-4219
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2018

Additional Information

Authorized Official

Authorized Official Last Name:
GEISE
Authorized Official First Name:
MORGAN
Authorized Official Middle Name:
Authorized Official Title or Position:
SPEECH-LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
317-946-4219

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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