Leslie M Allan, MS CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Hermitage, PA

NPI 1124309083 · NPPES record last updated Sep 6, 2011

Key facts

NPI
1124309083
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
146.008642 (IL)
Practice address
3893 Esther LN
Hermitage, PA 16148-3740
Phone
(724) 301-8299
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146.008642ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorycare Corporation Speech-Language Pathologist Past
since Jul 26, 2010
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.008642 IL Yes

Addresses

Primary practice location

3893 Esther LN
Hermitage, PA 16148-3740

Mailing address

3893 Esther LN
Hermitage, PA 16148-3740
Phone (724) 301-8299

Other providers in Hermitage, PA

All providers in Hermitage, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.