Doctor Name: | MRS. TIFFANY BOONE LEECH |
NPI Number: | 1427275106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,CCC-SLP |
License Number: | 03729 |
Business Practice Address: | 9325 Creek Ln Chestertown, MD - 21620 |
Business Phone Number: | 4107786565 |
Business Fax Number: | 4107781448 |
Mailing Address: | 210 Old Wharf Ln, QUEENSTOWN |
State: | MD |
Postal Code: | 216581250 |
Phone Number: | 4103538315 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 03729 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |