Provider Demographics
NPI:1336705284
Name:LITTLE PEAS SPEECH THERAPY LLC
Entity Type:Organization
Organization Name:LITTLE PEAS SPEECH THERAPY LLC
Other - Org Name:LITTLE PEAS SPEECH THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOERSCH
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:503-579-7327
Mailing Address - Street 1:14780 SW OSPREY DR STE 285
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-8073
Mailing Address - Country:US
Mailing Address - Phone:503-579-7327
Mailing Address - Fax:503-974-0946
Practice Address - Street 1:14780 SW OSPREY DR STE 285
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-8073
Practice Address - Country:US
Practice Address - Phone:503-579-7327
Practice Address - Fax:503-974-0946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-16
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty