Leesa Thompson, SLP

Individual provider Active NPI Speech-Language Pathologist · Cortlandt Manor, NY

NPI 1801033717 · NPPES record last updated Jan 14, 2009

Key facts

NPI
1801033717
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
004517-1 (NY)
Practice address
837 Terrace PL
Cortlandt Manor, NY 10567-1326
Phone
(914) 260-0945
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
004517-1NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 004517-1 NY Yes

Addresses

Primary practice location

837 Terrace PL
Cortlandt Manor, NY 10567-1326

Mailing address

837 Terrace PL
Cortlandt Manor, NY 10567-1326
Phone (914) 260-0945

Other providers in Cortlandt Manor, NY

All providers in Cortlandt Manor, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.