| Doctor Name: | MR. SAMUEL D LEFURGE-MCLEOD |
| NPI Number: | 1336555879 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | |
| Business Practice Address: | 2251 E Paris Ave Se Grand Rapids, MI - 495462431 |
| Business Phone Number: | 6164477799 |
| Business Fax Number: | |
| Mailing Address: | 7283 Childsdale Ave Ne, ROCKFORD |
| State: | MI |
| Postal Code: | 493418587 |
| Phone Number: | 6169703961 |
| Fax Number: | |
| NPI Enumeration Date: | 07/04/2014 |
| NPI Last Update Date: | 11/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |