Doctor Name: | MS. JENNIFER L LEAVELL |
NPI Number: | 1184807919 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | LL00003358 |
Business Practice Address: | 2366 Eastlake Ave E 335 Seattle, WA - 981023366 |
Business Phone Number: | 2063729133 |
Business Fax Number: | 2065249836 |
Mailing Address: | 8315 13th Ave Nw, SEATTLE |
State: | WA |
Postal Code: | 981174206 |
Phone Number: | 2063358837 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2007 |
NPI Last Update Date: | 12/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00003358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |