LATICIA PECK (SLP) – Speech-Language Pathologist, NPI 1104804574

LATICIA PECK (SLP) is a healthcare provider. based in Grayson, Georgia. specializing in Speech-Language Pathologist. They hold the professional credentials SLP. They hold a License No. SLP005865 (GA). The NPI Number for LATICIA PECK (SLP) is 1104804574

Main info

Female
Sole Proprietor
Name
LATICIA PECK (SLP)
NPI
1104804574
Phone
(678) 852-4022
Address
1165 PINE LAKE DR
Enumeration Date
5 January 2006
Last Update Date
28 April 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LATICIA PECK (SLP)

  • Lake Drive, Grayson County, Texas, United States

    GRAYSON, GA 300177926

    Phone: (678) 852-4022

    Fax: (770) 972-5577

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30017)

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Reviews

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Frequently asked questions

How do payers reference LATICIA PECK (SLP)?
For LATICIA PECK (SLP), use NPI 1104804574 as the unique 10-digit identifier.
Is there an active status for LATICIA PECK (SLP)?
For scheduling context, LATICIA PECK (SLP) is shown as active in the registry.
What kind of doctor is LATICIA PECK (SLP)?
LATICIA PECK (SLP) is associated with Speech-Language Pathologist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with LATICIA PECK (SLP)?
Directory geography for LATICIA PECK (SLP) centers on Grayson, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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