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NPI Code Detail

MEDICARE: NOT TOO LITTLE SPEECH THERAPY, LLC

MEDICARE: NOT TOO LITTLE SPEECH THERAPY, 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
1235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225816150
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOT TOO LITTLE SPEECH THERAPY, LLC
Provider Business Mailing Address
First Line : 7121 W CRAIG RD STE 113-1207
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-6001
Country : US
Telephone Number : 702-527-3142
Fax Number : 702-549-7717
Provider Business Practice Location Address
First Line : 7121 W CRAIG RD STE 113-1207
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-6001
Country : US
Telephone Number : 702-527-3142
Fax Number : 702-549-7717
Authorized Official
Title or Position : OWNER/ SPEECH-LANGUAGE PATHOLOGIST
Name : RYAN STEVEN PEREZ-CARRILLO
Credential : M.ED., CCC-SLP
Telephone Number : 702-527-3142
Provider Enumeration Date : 09/21/2023
Last Update Date : 04/30/2024

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Directions to “NOT TOO LITTLE SPEECH THERAPY, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.