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Organization
ASHLEY LARISEY SPEECH SERVICES PLLC
Active
Organization
ASHLEY LARISEY SPEECH SERVICES PLLC
Active
Other names
Prism Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LARISEY M.S., CCC-SLP/L (OWNER)
(316) 519-0531
Entity
Organization
Contact information
Practice address
12400 S HARLEM AVE STE 2NE, PALOS HEIGHTS, IL 60463-1440
(312) 298-9003
(877) 920-1765
Mailing address
10040 S FAIRFIELD AVE, CHICAGO, IL 60655-1640
(316) 519-0531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
NULL
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/15/2026
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