Doctor Name: | MS. LESLEY DIXON |
NPI Number: | 1356637680 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 3553-154 |
Business Practice Address: | 3300 Charles J Miller Rd Mchenry, IL - 600500710 |
Business Phone Number: | 8153448408 |
Business Fax Number: | 8153448425 |
Mailing Address: | 3300 Charles J Miller Rd, MCHENRY |
State: | IL |
Postal Code: | 600500710 |
Phone Number: | 8153448408 |
Fax Number: | 8153448425 |
NPI Enumeration Date: | 06/24/2011 |
NPI Last Update Date: | 02/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3553-154 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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 |