| Doctor Name: | LESLIE ELLEN WEIDMAN |
| NPI Number: | 1063536357 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,CCC-SLP |
| License Number: | S2862 |
| Business Practice Address: | 11140 N Harrells Ferry Rd Baton Rouge, LA - 708168307 |
| Business Phone Number: | 2252720150 |
| Business Fax Number: | 2252750930 |
| Mailing Address: | 11140 N Harrells Ferry Rd, BATON ROUGE |
| State: | LA |
| Postal Code: | 708168307 |
| Phone Number: | 2252720150 |
| Fax Number: | 2252750930 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 08/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | S2862 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |