| Lsa Pediatric Therapy | |
|
1502 Goodman Rd W Horn Lake MS 38637-1407 | |
| (901) 674-2877 | |
| Not Available |
| Full Name | Lsa Pediatric Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1502 Goodman Rd W, Horn Lake, Mississippi |
| Authorized Official Name and Position | Cheon Neshell Moore (OWNER) |
| Authorized Official Contact | 9016742877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lsa Pediatric Therapy 14132 Strafford Ln Olive Branch MS 38654-8462 Ph: (901) 674-2877 | Lsa Pediatric Therapy 1502 Goodman Rd W Horn Lake MS 38637-1407 Ph: (901) 674-2877 |
| NPI Number | 1558203620 |
|---|---|
| Provider Enumeration Date | 04/08/2026 |
| Last Update Date | 04/08/2026 |
| Certification Date | 04/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558203620 | NPI | - | NPPES |
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