Organization
ESSENTIAL SPEECH AND LANGUAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRYN PETTY MA, CCC-SLP (OWNER)
(321) 514-2014
Entity
Organization
Contact information
Practice address
9718 PONDEROSA SKYE CT, LAS VEGAS, NV 89166-3808
(321) 514-2014
Mailing address
9718 PONDEROSA SKYE CT, LAS VEGAS, NV 89166-3808
(321) 514-2014
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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