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MRS. MICHELLE LASSITER M.A., CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1689007262

Individual Registrant:
MRS. MICHELLE  LASSITER M.A., CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3202 STONE PATH LN SE  HAMPTON COVE, AL 35763 US
Tel: 954-305-6757  Fax: --

Contact information for business:
2903 TAVISTON DR  WAXHAW, NC 28173-6911 US
Tel: 954-305-6757  Fax: --

Registration Information:
NPI: 1689007262
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSA5177
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AL3408

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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