# LA SPEECH THERAPY PC

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

## Provider details

- **NPI number:** 1194024588
- **Authorized official:** MRS. LEIGHANNE P PAIGE M.S. CCC-SLP (OWNER)
- **Authorized official phone:** (731) 599-9896

## Contact information

- **Practice address:** 126 EAST MAIN STREET, SUITE C, UNION CITY, TN 38261-3926
- **Practice address phone:** (731) 599-9896
- **Practice address fax:** (731) 599-9922
- **Mailing address:** 126 E MAIN ST, SUITE C, UNION CITY, TN 38261-3349
- **Mailing address phone:** (731) 599-9896
- **Mailing address fax:** (731) 599-9922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 2010-16555 | TN | Yes |

## Other

- **Enumeration date:** 03/24/2011
- **Last updated:** 06/24/2014
