Doctor Name: | LEONARD ISRAEL |
NPI Number: | 1962558130 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D |
License Number: | SA2046 |
Business Practice Address: | 309 Knotty Wood Ln Wellington, FL - 334147808 |
Business Phone Number: | 5617981142 |
Business Fax Number: | 5617952401 |
Mailing Address: | 309 Knotty Wood Ln, WELLINGTON |
State: | FL |
Postal Code: | 334147808 |
Phone Number: | 5617981142 |
Fax Number: | 5617952401 |
NPI Enumeration Date: | 01/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA2046 |
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 |