Doctor Name: | MRS. AMY ANN LEIZER |
NPI Number: | 1689850679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC SLP |
License Number: | 2005002752 |
Business Practice Address: | 21005 S School Rd Peculiar, MO - 640789346 |
Business Phone Number: | 8168921352 |
Business Fax Number: | 8168921384 |
Mailing Address: | 227 Sw Albatross Ct, LEES SUMMIT |
State: | MO |
Postal Code: | 640824501 |
Phone Number: | 8168921352 |
Fax Number: | 8168921384 |
NPI Enumeration Date: | 01/21/2008 |
NPI Last Update Date: | 02/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2005002752 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |