Doctor Name: | MS. LEAH LANGFORD BOOTH |
NPI Number: | 1346498045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.,CCC-SLP |
License Number: | 002820 |
Business Practice Address: | 81 S Beechwood Rd Niantic, CT - 063572028 |
Business Phone Number: | 8607396978 |
Business Fax Number: | |
Mailing Address: | 81 South Beechwood Road, NIANTIC |
State: | CT |
Postal Code: | 06357 |
Phone Number: | 8607396978 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2008 |
NPI Last Update Date: | 09/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 002820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |