# LAKESHORE SPEECH THERAPY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1285861369
- **Authorized official:** MRS. TRACY ANNE BILLER MA CCC SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (440) 471-7190

## Contact information

- **Practice address:** 815 CROCKER RD, SUITE \#3, WESTLAKE, OH 44145
- **Practice address phone:** (440) 471-7190
- **Practice address fax:** (480) 287-8108
- **Mailing address:** 815 CROCKER ROAD, SUITE \#3, WESTLAKE, OH 44145
- **Mailing address phone:** (440) 471-7190
- **Mailing address fax:** (480) 287-8108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SP4771 | OH | Yes |
| 235Z00000X | Speech-Language Pathologist | SP5229 | OH | — |

## Other

- **Enumeration date:** 06/16/2009
- **Last updated:** 10/11/2013