Lively Speech and Language Therapy, LLC
NPI #1912614488 in St Augustine, Florida
Provider Information
- NPI Number
- 1912614488
- Entity Type
- Organization
- Organization Name
- Lively Speech and Language Therapy, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Nov 3, 2022
- Last Updated
- Jan 12, 2024
Practice Location
- Address
- 111 NATURE WALK PKWY UNIT 108
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32092-3065
- Phone
- (904) 729-6759
Authorized Official
- Name
- MS. SARAH LIVELY, CCC-SLP
- Title
- CEO & FOUNDER
- Phone
- (904) 729-6759
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
| Speech-Language Pathologist |
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