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NPI Code Detail

MEDICARE: LITTLE LANTERN THERAPY

MEDICARE: LITTLE LANTERN THERAPY
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

General Provider Information

NPI Number : 1649140054
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE LANTERN THERAPY
Provider Business Mailing Address
First Line : 2405 MILTON DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37216-2923
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2405 MILTON DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37216-2923
Country : US
Telephone Number : 615-601-0589
Fax Number :
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : REBECCA RICHARDSON
Credential : MS CCC-SLP
Telephone Number : 615-601-0589
Provider Enumeration Date : 11/10/2025
Last Update Date : 11/10/2025

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Directions to “LITTLE LANTERN THERAPY ” 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.