Doctor Name: | MRS. LEANNE BARGAHEISER |
NPI Number: | 1548691900 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 5374 |
Business Practice Address: | 1130 Tower Blvd Lorain, OH - 440525200 |
Business Phone Number: | 4402826768 |
Business Fax Number: | 4409605612 |
Mailing Address: | 1130 Tower Blvd, LORAIN |
State: | OH |
Postal Code: | 440525200 |
Phone Number: | 4402826768 |
Fax Number: | 4409605612 |
NPI Enumeration Date: | 12/10/2013 |
NPI Last Update Date: | 12/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5374 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
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 |