Doctor Name: | MS. LESLIE ANN FRASER |
NPI Number: | 1730184011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,CCC-SLP |
License Number: | SA0002406 |
Business Practice Address: | 12340 Ne 6th Ct North Miami, FL - 331615518 |
Business Phone Number: | 3059814000 |
Business Fax Number: | |
Mailing Address: | 10666 Ne 11th Ct, MIAMI SHORES |
State: | FL |
Postal Code: | 331382123 |
Phone Number: | 3058998892 |
Fax Number: | 3058991137 |
NPI Enumeration Date: | 06/14/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA0002406 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |