Organization
LITTLE ONE THERAPY SERVICES, LLC
Active
Parent organization
LITTLE ONE THERAPY SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LITTLE ONE THERAPY SERVICES, LLC
Authorized official
DR. ALEXANDRIA R. WATSON SLPD, CCC-SLP (OWNER)
(843) 865-0109
Entity
Organization
Contact information
Practice address
8752 ALEXANDRIA DRIVE, NORTH CHARLESTON, SC 29420
(843) 865-0109
Mailing address
8752 ALEXANDRIA DRIVE, NORTH CHARLESTON, SC 29420
(719) 648-1262
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336752898
—
SC
Enumeration date
06/15/2023
Last updated
06/21/2023
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