Provider Demographics
NPI:1831913359
Name:LIVE OUT LOUD SPEECH SERVICES, LLC
Entity type:Organization
Organization Name:LIVE OUT LOUD SPEECH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MYRIAH
Authorized Official - Middle Name:LASHE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:832-493-0737
Mailing Address - Street 1:PO BOX 84852
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-0007
Mailing Address - Country:US
Mailing Address - Phone:832-493-0737
Mailing Address - Fax:
Practice Address - Street 1:9418 SILVER BERYL LN
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-6932
Practice Address - Country:US
Practice Address - Phone:832-493-0737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech