Doctor Name: | LESLIE DANZELL |
NPI Number: | 1770824807 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | SP-9105-SL |
Business Practice Address: | 100 Ter Heun Dr Falmouth, MA - 025402503 |
Business Phone Number: | 5084957507 |
Business Fax Number: | 5084957603 |
Mailing Address: | 100 Ter Heun Dr, FALMOUTH |
State: | MA |
Postal Code: | 025402503 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/14/2013 |
NPI Last Update Date: | 04/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-9105-SL |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |