Organization
LA SPEECH THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEIGHANNE P PAIGE M.S. CCC-SLP (OWNER)
(731) 599-9896
Entity
Organization
Contact information
Practice address
126 EAST MAIN STREET, SUITE C, UNION CITY, TN 38261-3926
(731) 599-9896
(731) 599-9922
Mailing address
126 E MAIN ST, SUITE C, UNION CITY, TN 38261-3349
(731) 599-9896
(731) 599-9922
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
2010-16555
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523565
—
TN
Enumeration date
03/24/2011
Last updated
06/24/2014
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