Individual
MRS. MICHELLE LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3202 STONE PATH LN SE, HAMPTON COVE, AL 35763
(954) 305-6757
Mailing address
2903 TAVISTON DR, WAXHAW, NC 28173-6911
(954) 305-6757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3408
AL
235Z00000X
Speech-Language Pathologist
SA5177
FL
Other
Enumeration date
08/18/2013
Last updated
07/12/2018
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