Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lakeshore Speech and Language Therapy, PLLC

Organization Speech-Language Pathologist · NPI 1780102905

Lakeshore Speech and Language Therapy, PLLC is a Speech-Language Pathologist in Mooresville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 Palos Verde Dr
Mooresville, NC 28117-9070
Phone: (602) 540-9041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 11079 (NC)

Record details

NPI number1780102905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Patel — Speech-Language Pathologist · (602) 540-9041
NPI enumeratedSeptember 8, 2017
Last updated in NPPESSeptember 8, 2017
Mailing address105 Palos Verde Dr, Mooresville, NC 28117-9070

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