Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Leslie Clark Lively, MCD, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1568827723

Leslie Clark Lively, MCD, CCC-SLP is a Speech-Language Pathologist in Holly Springs, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in Alabama, California, Georgia and North Carolina.

Licensed in
AL, CA, GA, NC
In the registry since
2015
Specialties on file
4
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1140 W Savannah Ridge Rd Ste 111
Holly Springs, NC 27540
Phone: (504) 356-3995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4141 Riverlook Pkwy Se, Marietta, GA 30067-4538 — (337) 849-7090

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 11605 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 3615 (AL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 23594 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP008998 (GA)

Record details

NPI number1568827723
Entity typeIndividual (Type 1)
GenderFemale
Credentials MCD , CCC-SLP
Sole proprietorYes
NPI enumeratedDecember 15, 2015
Last updated in NPPESOctober 17, 2018

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