LATICIA PECK SLP
NPI 1104804574
Speech-Language Pathologist in Grayson, GA

Q: What is Laticia Peck's NPI number?

The NPI number for Laticia Peck is 1104804574. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Q: What is Laticia Peck's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Laticia Peck was last updated on April 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 05, 2006

1165 PINE LAKE DR, GRAYSON, GA 30017(678) 852-4022(770) 972-5577 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Laticia Peck Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATICIA PECK SLP (NPI 1104804574) is an individual speech-language pathologist provider in Grayson, Georgia, licensed in Georgia (SLP005865) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1104804574

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameLATICIA PECKCredential: SLP

Location Address1165 PINE LAKE DRGrayson, GA 30017-7926

Mailing Address1165 Pine Lake DrGrayson, GA 30017-7926

Phone(678) 852-4022

Fax(770) 972-5577

Sole ProprietorYes

Enumeration DateJanuary 5, 2006

Last NPPES UpdateApril 28, 2009

✔ NPI 1104804574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in GA · SLP005865

Definition

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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1165 PINE LAKE DR, Grayson, GA 30017

Open in Google Maps ↗

Other Identifiers 1

Medicaid371442378FGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laticia Peck's NPI number?

The NPI number for Laticia Peck is 1104804574. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Laticia Peck located?

Laticia Peck practices at 1165 Pine Lake Dr, Grayson, GA 30017. The listed phone number is (678) 852-4022.

What is Laticia Peck's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Laticia Peck was last updated on April 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.