Leslie Atwood

Individual provider Active NPI Speech-Language Pathologist · Lexington, KY

NPI 1073979928 · NPPES record last updated Jan 7, 2016

Key facts

NPI
1073979928
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1457 (KY)
Practice address
448 Lewis Hargett Cir
Suite 100
Lexington, KY 40503-3594
Phone
(859) 313-5250
Fax
(859) 373-8577
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1457KYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1457 KY Yes

Addresses

Primary practice location

448 Lewis Hargett Cir
Suite 100
Lexington, KY 40503-3594

Mailing address

130 Old Towne Walk
Midway, KY 40347-9785
Phone (859) 797-8812

Other providers in Lexington, KY

All providers in Lexington, KY · Speech-Language Pathologist in Kentucky

Sources for this page

Verify at the official NPI Registry.