Doctor Name: | EMILY E LEAVENS |
NPI Number: | 1275803231 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SP2229 |
Business Practice Address: | 46 Fairview Ave Skowhegan, ME - 049761481 |
Business Phone Number: | 2074747000 |
Business Fax Number: | 2078584772 |
Mailing Address: | Po Box 468, SKOWHEGAN |
State: | ME |
Postal Code: | 049760468 |
Phone Number: | 2074747000 |
Fax Number: | 2078584772 |
NPI Enumeration Date: | 01/09/2012 |
NPI Last Update Date: | 10/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP2229 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |