Doctor Name: | MS. MARIE G. LESLEY |
NPI Number: | 1457430951 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M./S./CCC-SLP/L |
License Number: | SLP001135 |
Business Practice Address: | 2386 Clower St Build. E, Suite 102 Snellville, GA - 300786134 |
Business Phone Number: | 7799859050 |
Business Fax Number: | 7709859223 |
Mailing Address: | 1106 Masters Ln, SNELLVILLE |
State: | GA |
Postal Code: | 300783583 |
Phone Number: | 7707363404 |
Fax Number: | 7707365693 |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP001135 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |