# EARLY BIRD SPEECH THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Early Bird Speech LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205700184
- **Authorized official:** MRS. JILL LESE MS, CCC-SLP, TSSLD (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (347) 464-9557

## Contact information

- **Practice address:** 550 VANDERBILT AVE APT 903, BROOKLYN, NY 11238-3599
- **Practice address phone:** (347) 464-9557
- **Mailing address:** 550 VANDERBILT AVE APT 903, BROOKLYN, NY 11238-3599
- **Mailing address phone:** (347) 464-9557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2025
- **Last updated:** 10/02/2025