Healthcare Provider Details

I. General information

NPI: 1871230649
Provider Name (Legal Business Name): THE SPEECH LAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2022
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S WASHINGTON ST
MEXICO MO
65265-2730
US

IV. Provider business mailing address

101 S WASHINGTON ST
MEXICO MO
65265-2730
US

V. Phone/Fax

Practice location:
  • Phone: 573-473-2394
  • Fax: 573-519-5307
Mailing address:
  • Phone: 573-890-5029
  • Fax: 573-519-5307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LOREN LITTRELL FINCK
Title or Position: OWNER/SLP
Credential:
Phone: 573-473-2394