Leslie Reid, M.A. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Marengo, OH
NPI 1275933632 · NPPES record last updated Apr 20, 2017
Key facts
- NPI
- 1275933632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP.11734 (OH)
- Practice address
- 6506 State Route 229
Marengo, OH 43334-9738 - Phone
- (740) 602-2969
- NPI assigned
- Sep 3, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COND.2015024-SP | OH | MD | Speech-Language Pathologist |
| SP.11734 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | COND.2015024-SP | OH | |
| Speech-Language Pathologist | 235Z00000X | SP.11734 | OH | Yes |
Addresses
Primary practice location
6506 State Route 229
Marengo, OH 43334-9738
Mailing address
890 W 4TH St
Ontario, OH 44906-2565
Phone (740) 680-2852
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- Sarah Katherine Richards
- Lorrie Ann Robinson
- Michelle Robinson
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All providers in Marengo, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.