Provider Demographics
NPI:1255168688
Name:LEDBETTER THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:LEDBETTER THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:CAMPBELL
Authorized Official - Last Name:LEDBETTER
Authorized Official - Suffix:
Authorized Official - Credentials:CLINSCD, CCC-SLP
Authorized Official - Phone:864-508-0354
Mailing Address - Street 1:214 THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:CLEMSON
Mailing Address - State:SC
Mailing Address - Zip Code:29631-2219
Mailing Address - Country:US
Mailing Address - Phone:864-508-0354
Mailing Address - Fax:
Practice Address - Street 1:214 THOMAS ST
Practice Address - Street 2:
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29631-2219
Practice Address - Country:US
Practice Address - Phone:864-508-0354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty