Organization
THERAPY ZONE, LLC
Active
Other names
Leslie Hammond D.B.A. Therapy Zone
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE J HAMMOND MS CCC SLP (OWNER/ SPEECH LANG. PATHOLOGIST)
(662) 349-2733
Entity
Organization
Contact information
Practice address
7160 TCHULAHOMA, BLD B, SUITE 4, SOUTHAVEN, MS 38671-9266
(662) 349-2733
(662) 536-1849
Mailing address
7160 TCHULAHOMA, BLD B-SUITE 4, SOUTHAVEN, MS 38671-9266
(662) 349-2733
(662) 536-1849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2277
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052625865
BLUE CROSS/ BLUE SHEILD
—
05
—
09015269
—
MS
01
—
4019252
BLUE CROSS/ BLUE SHEILD
TN
01
—
7384169
AETNA
—
Enumeration date
08/31/2006
Last updated
03/15/2013
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