# ASHLEY LARISEY SPEECH SERVICES PLLC

> 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
- **Other names:** Prism Pediatric Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770324493
- **Authorized official:** ASHLEY LARISEY M.S., CCC-SLP/L (OWNER)
- **Authorized official phone:** (316) 519-0531

## Contact information

- **Practice address:** 12400 S HARLEM AVE STE 2NE, PALOS HEIGHTS, IL 60463-1440
- **Practice address phone:** (312) 298-9003
- **Practice address fax:** (877) 920-1765
- **Mailing address:** 10040 S FAIRFIELD AVE, CHICAGO, IL 60655-1640
- **Mailing address phone:** (316) 519-0531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2024
- **Last updated:** 06/15/2026