Doctor Name: | MRS. SARAH MICHELE LEITZY |
NPI Number: | 1790133668 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | SP10459 |
Business Practice Address: | 865 Harding Way W Galion, OH - 448331637 |
Business Phone Number: | 4194680570 |
Business Fax Number: | |
Mailing Address: | 5061 Eaton Rd, BUCYRUS |
State: | OH |
Postal Code: | 448209725 |
Phone Number: | 4196890954 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2016 |
NPI Last Update Date: | 06/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP10459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |