Organization
SPROUT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN KALLEVIG M.A. CCC-SLP (OWNER)
(440) 316-2416
Entity
Organization
Contact information
Practice address
20038 ABIGAIL LN, STRONGSVILLE, OH 44149-8772
(440) 465-6052
Mailing address
20038 ABIGAIL LN, STRONGSVILLE, OH 44149-8772
(440) 465-6052
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SP.10950
OH
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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