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LESLIE CLARK LIVELY MCD, CCC-SLP
NPI 1568827723
Speech-Language Pathologist in Holly Springs, NC

Active since December 15, 2015
1140 W. SAVANNAH RIDGE ROAD, SUITE 111, HOLLY SPRINGS, NC 27540(504) 356-3995 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 17, 2018, Oct 9, 2018, Aug 24, 2017 and 3 more (6 updates tracked since 2015).

About Leslie Clark Lively Mcd, Ccc-slp NPPES

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

LESLIE CLARK LIVELY MCD, CCC-SLP (NPI 1568827723) is an individual speech-language pathologist provider in Holly Springs, North Carolina, licensed in North Carolina (11605) and active in the NPI registry since December 2015. She maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1568827723
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLESLIE CLARK LIVELYCredential: MCD, CCC-SLP
Location Address1140 W. SAVANNAH RIDGE ROAD, SUITE 111Holly Springs, NC 27540
Mailing Address1140 W Savannah Ridge Rd, Suite 111Holly Springs, NC 27540
Phone(504) 356-3995
Sole ProprietorYes
Enumeration DateDecember 15, 2015
Last NPPES UpdateOctober 17, 20186 updates tracked since enumeration
✔ NPI 1568827723 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
Licenses✔ Licensed in NC · 11605✔ Licensed in GA · SLP008998✔ Licensed in CA · 23594✔ Licensed in AL · 3615
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.
1140 W. SAVANNAH RIDGE ROAD, Holly Springs, NC 27540
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Secondary Practice Location 1

Location 14141 Riverlook Pkwy SE, Unit 102Marietta, GA 30067-4538 · Phone (337) 849-7090

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 Leslie Lively's NPI number?

The NPI number for Leslie Lively is 1568827723. It was assigned to this individual provider in the NPPES registry on December 15, 2015.

Where is Leslie Lively located?

Leslie Lively practices at 1140 W. Savannah Ridge Road Suite 111, Holly Springs, NC 27540. The listed phone number is (504) 356-3995.

What is Leslie Lively'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 Leslie Lively was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.