# THIS LITTLE LIGHT SLP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124740550
- **Authorized official:** MRS. SARA DEEANNE NIELSEN MA, CCC/SLP (SLP/OWNER)
- **Authorized official phone:** (509) 991-3064

## Contact information

- **Practice address:** 13607 E SPRAGUE AVENUE, SPOKANE VALLEY, WA 99216-0809
- **Practice address phone:** (509) 991-3064
- **Practice address fax:** (877) 775-2543
- **Mailing address:** 13607 E SPRAGUE AVENUE, SPOKANE VALLEY, WA 99216-0809
- **Mailing address phone:** (509) 991-3064
- **Mailing address fax:** (877) 775-2543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2022
- **Last updated:** 09/13/2022