Doctor Name: | LESLIE ATWOOD |
NPI Number: | 1073979928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1457 |
Business Practice Address: | 448 Lewis Hargett Cir Suite 100 Lexington, KY - 405033594 |
Business Phone Number: | 8593135250 |
Business Fax Number: | 8593738577 |
Mailing Address: | 130 Old Towne Walk, MIDWAY |
State: | KY |
Postal Code: | 403479785 |
Phone Number: | 8597978812 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2016 |
NPI Last Update Date: | 01/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1457 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |