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NPI 1225816150

NPI 1225816150 : NOT TOO LITTLE SPEECH THERAPY, LLC : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1225816150
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    Entity Type          |    Organization 
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    Legal Business Name  |    NOT TOO LITTLE SPEECH THERAPY, LLC 
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Dates
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    Enumeration Date     |    09/21/2023
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    Last Update Date     |    04/30/2024
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Provider Practice Location Address
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    Address Line         |    7121 W CRAIG RD STE 113-1207 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89129-6001
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    Country              |    US
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    Telephone            |    702-527-3142
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    Fax                  |    702-549-7717
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Provider Business Mailing Address
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    Address Line         |    7121 W CRAIG RD STE 113-1207 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89129-6001
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    Country              |    US
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    Telephone            |    702-527-3142
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    Fax                  |    702-549-7717
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Authorized Official
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    Title or Position    |    OWNER/ SPEECH-LANGUAGE PATHOLOGIST
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    Name                 |     RYAN STEVEN PEREZ-CARRILLO 
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    Credential           |    M.ED., CCC-SLP
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    Telephone            |    702-527-3142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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