Organization
ELITE DYSPHAGIA DIAGNOSTICS & SPEECH SERVICES, LLC
Active
Other names
Elite Therapy & Wellness, Elite Mobile Therapy & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA MAE RANDEN MA, CCC-SLP (OWNER)
(573) 225-3639
Entity
Organization
Contact information
Practice address
2137 WILLIAM ST, CAPE GIRARDEAU, MO 63703-5817
(573) 803-3338
(844) 579-0089
Mailing address
312 STEPPING STONE WAY, CAPE GIRARDEAU, MO 63701-8388
(573) 225-3639
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/15/2025
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