Susan Leidy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60206507 Issued in CA

Practice address

3478 Bodega Ave
Petaluma, CA 94952-1604

Phone

(707) 778-8682

NPI assigned

Jul 22, 2014

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

State licenses

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1245647270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 KUCK LN",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949529606",
            "telephone_number": "707-795-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 BODEGA AVE",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949521604",
            "telephone_number": "707-778-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIDY",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "60206507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Legg
• Kacey Maralyn Legnitto, MS, RD, CEDRD
• Susanna Legorreta
• Audra Lehman, M.D.
• Kenneth Lewis Lehrman, M.D.
• Brian M. Lemesh, D.C.
• Michael B. Lennon, MD
• Veronika Dorinda Lenzi, CMLDT, CMT
• Aulani Leomiti
• Michelle Leonard

• Speech-Language Pathologist in Petaluma, CA
• Providers in Petaluma, 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 Jul 22, 2014; 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.