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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LESLIE CLARK LIVELY, MCD, CCC-SLP

Active Sole Proprietor

LESLIE CLARK LIVELY, MCD, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in HOLLY SPRINGS, North Carolina. NPI 1568827723 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · HOLLY SPRINGS, NC

Registration Details

NPI Number
1568827723
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2015 (10.517401473732 yrs)
Last Updated
Oct 17, 2018
Licenses
3615 (AL)
23594 (CA)
SLP008998 (GA)
11605 (NC)
Sole Proprietor
Yes

Practice Information

Address
1140 W. SAVANNAH RIDGE ROAD
SUITE 111
HOLLY SPRINGS, NC, 27540
Browse NC providers · Browse ZIP 27540
Phone
5043563995
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in HOLLY SPRINGS, NC

Name Credential NPI
MRS. KATHRYN CLAY BODDICKER MS CC SLP 1245315944
MRS. KRISTEN JEAN WILSON ORREGO M.A. CCC-SLP 1598823064
MEGHAN HILLARY BAULCH CCC-SLP 1366597817
CAROLYN ANN OWER MS,CCC-SLP 1407902232
MRS. KELLY BROOKE DESTEFANO 1073652194
MRS. SHANNON BURCHETT SCHIEDER M.A. CCC-SLP 1104954411
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.