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NPI Code Detail

MEDICARE: ASHLEY LARISEY SPEECH SERVICES PLLC

MEDICARE: ASHLEY LARISEY SPEECH SERVICES PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1770324493
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHLEY LARISEY SPEECH SERVICES PLLC
Provider Business Mailing Address
First Line : 10040 S FAIRFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60655-1640
Country : US
Telephone Number : 316-519-0531
Fax Number :
Provider Business Practice Location Address
First Line : 12400 S HARLEM AVE STE 2NE
Second Line :
City : PALOS HEIGHTS
State : IL
Zip : 60463-1440
Country : US
Telephone Number : 312-298-9003
Fax Number : 877-920-1765
Authorized Official
Title or Position : OWNER
Name : ASHLEY LARISEY
Credential : M.S., CCC-SLP/L
Telephone Number : 316-519-0531
Provider Enumeration Date : 06/05/2024
Last Update Date : 02/10/2026

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Directions to “ASHLEY LARISEY SPEECH SERVICES PLLC ” Practice Location

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