Ict Speech Therapy Services LLC

NPI #1669197141 in Wichita, Kansas

Provider Information

NPI Number: 1669197141
Entity Type: Organization
Organization Name: Ict Speech Therapy Services LLC
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Oct 7, 2022
Last Updated: Oct 7, 2022

Practice Location

Address: 7570 W 21ST ST N
Address 2: BLDG 1050, STE D
City: Wichita
State: Kansas
ZIP Code: 67205-6720
Phone: (316) 409-9932

Authorized Official

Name: JEFFERY TYLER MILLSPAUGH
Title: OWNER
Phone: (316) 215-4719

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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