Doctor Name: | AMY LEIDER |
NPI Number: | 1154553840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS/CCC-SLP |
License Number: | |
Business Practice Address: | 417 Emmet St S Charlottesville, VA - 229032424 |
Business Phone Number: | 4349240542 |
Business Fax Number: | |
Mailing Address: | 1061 Ramblewood Pl, CHARLOTTESVILLE |
State: | VA |
Postal Code: | 229011291 |
Phone Number: | 4349641855 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2009 |
NPI Last Update Date: | 07/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |