Leah Langford Booth, M.A.,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Niantic, CT
NPI 1346498045 · NPPES record last updated Sep 6, 2008
Key facts
- NPI
- 1346498045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 002820 (CT)
- Practice address
- 81 S Beechwood Rd
Niantic, CT 06357-2028 - Phone
- (860) 739-6978
- NPI assigned
- Sep 5, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 7309
New Haven, CT 06519
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 Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 002820 | CT | Yes |
Addresses
Primary practice location
81 S Beechwood Rd
Niantic, CT 06357-2028
Mailing address
81 South Beechwood Road
Niantic, CT 06357
Phone (860) 739-6978
Other providers in Niantic, CT
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- Kenneth Michael Bibalo
- Andrew Lee Blalock
- Suzanne Marie Bondy
- Laura Jean Brewster
- Bride Brook SNF Operations LLC
- Jessie M.E. Brutus
- Bseb-Birth Support, Education & Beyond, Inc.
- Bettygene Buda
All providers in Niantic, CT · Speech-Language Pathologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.