MEDICARE: LITTLE SPRUCE SPEECH CO., LLC

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1073442612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE SPRUCE SPEECH CO., LLC

Provider Business Mailing Address
First Line	:	1221 SHORE DR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99515-3204
Country	:	US
Telephone Number	:	843-291-3257
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 SHORE DR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99515-3204
Country	:	US
Telephone Number	:	843-291-3257
Fax Number	:

Authorized Official
Title or Position	:	OWNER / SPEECH-LANGUAGE PATHOLOGIST
Name	:	LAUREL ZOGAS
Credential	:	MS, CCC-SLP
Telephone Number	:	843-291-3257

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “LITTLE SPRUCE SPEECH CO., LLC ” Practice Location

Language	Start Address	Practice Location

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