| Doctor Name: | DR. LESLEE L DUPERTUIS |
| NPI Number: | 1891165841 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS-SLP, PH.D. |
| License Number: | 0001125 |
| Business Practice Address: | 704 Fortino Blvd Pueblo, CO - 810082086 |
| Business Phone Number: | 7193058300 |
| Business Fax Number: | |
| Mailing Address: | 924 Bluestem Blvd, PUEBLO |
| State: | CO |
| Postal Code: | 810011141 |
| Phone Number: | 7192898500 |
| Fax Number: | |
| NPI Enumeration Date: | 10/02/2015 |
| NPI Last Update Date: | 10/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 0001125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| 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 |