Kidsource Therapy in Benton, AR - Speech-Language Pathologist

Kidsource Therapy is a Speech-language Pathologist based in Benton, Arkansas. Kidsource Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is 17706 I-30, Ste 3, Benton, Arkansas. It can be reached at their office (for appointments etc.) via phone at (501) 315-4414.

NPI number for Kidsource Therapy is 1760443220 and their current mailing address is 17706 I-30, Ste 3, Benton, Arkansas. Kidsource Therapy does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1760443220.

Contact Information

	Kidsource Therapy
	17706 I-30, Ste 3, Benton, AR 72015
	(501) 315-4414
	(501) 315-3467

Healthcare Provider's Profile

Full Name	Kidsource Therapy
Type	Facility
Speciality	Speech-language Pathologist
Location	17706 I-30, Benton, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1760443220
Provider Enumeration Date: 03/31/2006
Last Update Date: 08/22/2020

Medical Identifiers

Medical identifiers for Kidsource Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760443220	NPI	-	NPPES
5C299	Other	AR	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary
225X00000X	Occupational Therapist	(* (Not Available))	Primary
235Z00000X	Speech-language Pathologist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kidsource Therapy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kidsource Therapy 17706 I-30, Ste 3, Benton, AR 72015 Ph: (501) 315-4414	Kidsource Therapy 17706 I-30, Ste 3, Benton, AR 72015 Ph: (501) 315-4414

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Speech-Language Pathologist in Benton, AR

Arkansas Therapy Outreach, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Legacy Village Dr, Benton, AR 72015 Phone: 501-350-7572 Fax: 501-776-4059
Cassandra Powell, M.S.CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-315-0136
Taylor Gibbs Crosby, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17706 Interstate 30 N Ste 3, Benton, AR 72019 Phone: 501-315-4414
Ryan Russell, MSSLP.CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6701 Highway 67, Benton, AR 72015 Phone: 501-860-0777
Rebekah Anne Kennedy, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17706 Interstate 30 N Ste 3, Benton, AR 72019 Phone: 501-315-4414
Jessica Faye Huffty, MS, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3214 Winchester, Benton, AR 72015 Phone: 501-315-4414 Fax: 501-315-3467
Mckenna Lynn Zeringue, M.S. CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17706 I 30, Benton, AR 72019 Phone: 501-315-4414

Kidsource Therapy - Speech-Language Pathologist in Benton, AR