Provider Demographics
NPI:1992421846
Name:LES SPEECH SERVICES
Entity type:Organization
Organization Name:LES SPEECH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-853-3578
Mailing Address - Street 1:100 ADAM RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-1806
Mailing Address - Country:US
Mailing Address - Phone:770-853-3578
Mailing Address - Fax:
Practice Address - Street 1:100 ADAM RIDGE LN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-1806
Practice Address - Country:US
Practice Address - Phone:770-853-3578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty