# BIRDSONG SPEECH THERAPY ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1639553167
- **Authorized official:** ALYCIA CANAVAN M.A., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (541) 371-2782

## Contact information

- **Practice address:** 845 E 43RD AVE, SUITE 610, EUGENE, OR 97405-5308
- **Practice address phone:** (541) 371-2782
- **Mailing address:** 845 E 43RD AVE, SUITE 610, EUGENE, OR 97405-5308
- **Mailing address phone:** (541) 371-2782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 15420 | OR | Yes |

## Other

- **Enumeration date:** 07/14/2015
- **Last updated:** 07/14/2015