Organization · Type 2 NPI

Lively Speech and Language Therapy, LLC

Speech-Language Pathologist · St. Augustine, FL

NPI number 1912614488 Active

Practice location

111 Nature Walk Pkwy Unit 108
St. Augustine, FL 32092-3065

Fax (904) 490-8549

Specialties and licenses

Taxonomy	Code	License
Pediatric Occupational Therapist	225XP0200X	None listed
Speech-Language Pathologist Primary	235Z00000X	None listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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NPI record

NPI: 1912614488
Entity type: Organization (Type 2)
Issued: Nov 3, 2022
Last updated: Jan 12, 2024
Status: Active

Other names

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Lively Speech and Language Therapy · doing business as
Lively Speech and Language Therapy · doing business as

Authorized official

Ms. Sarah Lively, CCC-SLP
CEO & Founder
(904) 729-6759

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About NPI 1912614488

Lively Speech and Language Therapy, LLC's National Provider Identifier is 1912614488, issued on Nov 3, 2022. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in St. Augustine, FL. The record was last updated on Jan 12, 2024.