Healthcare Provider Details

I. General information

NPI: 1003732298
Provider Name (Legal Business Name): NEW MOON SPEECH AND LANGUAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 CREEKWAY CT
MARIETTA GA
30066-4976
US

IV. Provider business mailing address

208 CREEKWAY CT
MARIETTA GA
30066-4976
US

V. Phone/Fax

Practice location:
  • Phone: 727-597-0710
  • Fax:
Mailing address:
  • Phone: 727-597-0710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: HOPE EMILY LEARDINI
Title or Position: OWNER, SPEECH-LANGUAGE PATHOLOGIST
Credential: M.S., CCC-SLP
Phone: 727-597-0710