Provider Demographics
NPI:1417649179
Name:CYPRESS SPEECH & SWALLOWING SPECIALISTS, LLC
Entity Type:Organization
Organization Name:CYPRESS SPEECH & SWALLOWING SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEZLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAUF
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:318-348-7365
Mailing Address - Street 1:128 TEMECULA DR
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71292-0476
Mailing Address - Country:US
Mailing Address - Phone:318-348-7365
Mailing Address - Fax:
Practice Address - Street 1:1326 HIGHWAY 80 E
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:LA
Practice Address - Zip Code:71225-9113
Practice Address - Country:US
Practice Address - Phone:318-599-1391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty