Leslie Leatham Bennett, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

20104 Issued in CA

Practice address

303 N Glenoaks Blvd Ste 200
Burbank, CA 91502-1118

Phone

(818) 217-0460

NPI assigned

Jun 14, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Leslie Leatham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spark Speech Therapy Collective PC

  dba Spark Therapy Collective

  • Speech-Language Pathologist
  • Seattle, WA
  • NPI 1457992893
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1043505464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N GLENOAKS BLVD STE 200",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021118",
            "telephone_number": "818-217-0460",
            "fax_number": "818-478-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N GLENOAKS BLVD STE 200",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021118",
            "telephone_number": "818-217-0460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 NW Leary Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981075138",
            "country_code": "US",
            "telephone_number": "818-217-0460",
            "fax_number": "818-478-3327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LESLIE",
        "middle_name": "LEATHAM",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "20104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "LEATHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benign Care Hospice, Inc.
• Sharon Anne Benjamin, MFT
• Benmar Medical
• Dequidda Bennett
• Jenna Karlsberg Bennett
• Irvin S. Benowitz, D.O.
• Tessa Reyes Benz
• Sagir Girish Bera, D.O., M.P.H., M.S.
• John Berberian, DNP, FNP-C, PMHNP-BC
• Mariam Berberian, FNP, PMHNP-BC

• Speech-Language Pathologist in Burbank, CA
• Providers in Burbank, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.