Doctor Name: | LEIGH D PORTERFIELD |
NPI Number: | 1104053909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA. CF-SLP |
License Number: | 46001963A |
Business Practice Address: | 2536 W Industrial Park Dr Suite 7 Bloomington, IN - 474042635 |
Business Phone Number: | 8123336640 |
Business Fax Number: | 8123336641 |
Mailing Address: | 2036 N Walnut St, A 27 BLOOMINGTON |
State: | IN |
Postal Code: | 474042465 |
Phone Number: | 8123336640 |
Fax Number: | 8123336641 |
NPI Enumeration Date: | 06/18/2009 |
NPI Last Update Date: | 06/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 46001963A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |