Leah Michelle Procko, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

54 Clearfield Rd
Wethersfield, CT 06109-3352

Phone

(860) 729-7506

Fax

(860) 729-7506

NPI assigned

Oct 18, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194236158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CLEARFIELD RD",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093352",
            "telephone_number": "860-729-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CLEARFIELD RD",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093352",
            "telephone_number": "860-729-7506",
            "fax_number": "860-729-7506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Farmington Ave Ste 12",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060321916",
            "country_code": "US",
            "telephone_number": "860-674-1824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROCKO",
        "first_name": "LEAH",
        "middle_name": "MICHELLE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Healthcare (Sleep Lab)
• Prime Healthcare LTC PC
• Prime Healthcare, PC
• Prince Lactation Support, LLC
• Kelly Krupa Prior, APRN
• Prosperity & Wellness Clinic, LLC
• Prosthetic and Orthotic Specialists of Connecticut
• Katherine Elizabeth Provaznik, DO
• Psychological Health & Development Associates, LLC
• Quality Choice Homecare Services

• Speech-Language Pathologist in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.