Doctor Name: | SARAH LEBLANC |
NPI Number: | 1417227018 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 9790 |
Business Practice Address: | 5535 S Williamson Blvd Ste #774 Port Orange, FL - 321288311 |
Business Phone Number: | 8003307711 |
Business Fax Number: | |
Mailing Address: | 1395 N Milwaukee Ave, Unit 3e CHICAGO |
State: | IL |
Postal Code: | 606228428 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/12/2012 |
NPI Last Update Date: | 04/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9790 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
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 |