Michelle Lassiter, M.A., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Hampton Cove, AL

NPI 1689007262 · NPPES record last updated Jul 12, 2018

Key facts

NPI
1689007262
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3408 (AL)
Practice address
3202 Stone Path LN SE
Hampton Cove, AL 35763
Phone
(954) 305-6757
NPI assigned
Aug 18, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3408ALMDOccupational Therapist
SA5177FLMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA5177 FL
Speech-Language Pathologist 235Z00000X 3408 AL Yes

Addresses

Primary practice location

3202 Stone Path LN SE
Hampton Cove, AL 35763

Mailing address

2903 Taviston Dr
Waxhaw, NC 28173-6911
Phone (954) 305-6757

Other providers in Hampton Cove, AL

All providers in Hampton Cove, AL · Speech-Language Pathologist in Alabama

Sources for this page

Verify at the official NPI Registry.