501 South Rancho Dr., Suite D25
Las Vegas, NV 89106
702-898-5297
Contact Us
Contact Information

Please complete the following information and we will be in touch with you as soon as possible.  If you are interested in making an appointment, please fill out the insurance information and submit to our office first.  We will contact your insurance to inquire about coverage for speech therapy services. 

Patient Name:
Date of Birth:
Referring MD:
Parent/Guardian:
Telephone Number:
Insurance:
Employer:
Policyholder:
Policyholder Date of Birth:
ID #:
Group #:
Provider Phone #:
(located on back of card)
Brief Description of Problem::
Google Map

From US 95:
Take the Rancho exit and travel south towards Alta.  We are on the southeast corner of Rancho and Alta.

From I-15:
Take the Charleston exit and travel west to Rancho Dr.  Turn right and we are on the right hand side of the street, before you get to Alta.

We are located in Quail Park III

501 South Rancho Dr. Suite D25

Las Vegas, NV 89106

702.898.5297

fax:  702.898.5298

e-mail:  hope@hopespeechtherapylv.com