Organization
LEAPING LANGUAGE PEDIATRIC SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYMBERLY TUCKFIELD (DIRECTOR)
(971) 678-9822
Entity
Organization
Contact information
Practice address
116 CHIPWOOD LN, GREENVILLE, SC 29615-1257
(971) 678-9822
Mailing address
116 CHIPWOOD LN, GREENVILLE, SC 29615-1257
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5249
SC
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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