Organization
EFFECTIVE SPEECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY GARDNER LEIST MS,CCC-SLP (OWNER)
(813) 404-7707
Entity
Organization
Contact information
Practice address
2564 MURRAY PASS, ODESSA, FL 33556-4163
(813) 404-7707
Mailing address
2564 MURRAY PASS, ODESSA, FL 33556-4163
(813) 404-7707
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008113500
—
FL
Enumeration date
03/09/2022
Last updated
03/09/2022
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