Doctor Name: | LESLIE SINCLAIR |
NPI Number: | 1144625526 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MACCC/SLP,BCBA |
License Number: | SA13157 |
Business Practice Address: | 4650 State Road 16 Saint Augustine, FL - 320920600 |
Business Phone Number: | 9049402193 |
Business Fax Number: | |
Mailing Address: | 1 Brigantine Ct, SAINT AUGUSTINE |
State: | FL |
Postal Code: | 320806564 |
Phone Number: | 9048145535 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2014 |
NPI Last Update Date: | 10/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA13157 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |