Provider Demographics
NPI:1336842004
Name:LITTLE SPEECH STUDIO LLC
Entity Type:Organization
Organization Name:LITTLE SPEECH STUDIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-417-0938
Mailing Address - Street 1:11311 PATTY ANN LN
Mailing Address - Street 2:
Mailing Address - City:BRUCE TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48065-5302
Mailing Address - Country:US
Mailing Address - Phone:810-417-0938
Mailing Address - Fax:
Practice Address - Street 1:11311 PATTY ANN LN
Practice Address - Street 2:
Practice Address - City:BRUCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48065-5302
Practice Address - Country:US
Practice Address - Phone:810-417-0938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty