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Organization
LIVELY SPEECH AND LANGUAGE THERAPY, LLC
Active
Organization
LIVELY SPEECH AND LANGUAGE THERAPY, LLC
Active
Other names
Lively Speech and Language Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH LIVELY CCC-SLP (CEO & FOUNDER)
(904) 729-6759
Entity
Organization
Contact information
Practice address
111 NATURE WALK PKWY UNIT 108, ST AUGUSTINE, FL 32092-3065
(904) 729-6759
(904) 490-8549
Mailing address
111 NATURE WALK PKWY UNIT 108, ST AUGUSTINE, FL 32092-3065
(904) 729-6759
(904) 490-8549
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA12730
FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY KIMBERLY KENNELL
FL
01
—
SA14057
FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SARAH LIVELY
FL
01
—
SA15493
FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AJA WALKER
FL
01
—
SA16825
FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SAMANTHA REPALONE
FL
01
—
SA19092
FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY SONYA OLSEN
FL
01
—
SA19465
FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY JULIANNE TRAUNER
FL
01
—
SA20932
FL BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY MALLORY ABERCROMBIE
FL
Enumeration date
11/03/2022
Last updated
01/12/2024
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