Organization
MY LITTLE SPEECH THERAPIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE DAVIES MS CCC-SLP (OWNER)
(423) 268-5647
Entity
Organization
Contact information
Practice address
123 QUAIL RUN, JOHNSON CITY, TN 37601-5366
(423) 268-5647
Mailing address
123 QUAIL RUN, JOHNSON CITY, TN 37601-5366
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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