Leslie Fortner, MHS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2006019873 Issued in MO

Practice address

2233 Yale Ave
Maplewood, MO 63143-1420

Phone

(636) 485-8240

NPI assigned

Mar 8, 2007

Last updated

Jul 16, 2013By the provider in NPPES

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1881725489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 YALE AVE",
            "city": "MAPLEWOOD",
            "state": "MO",
            "postal_code": "631431420",
            "telephone_number": "636-485-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 YALE AVE",
            "city": "MAPLEWOOD",
            "state": "MO",
            "postal_code": "631431420",
            "telephone_number": "636-485-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "LESLIE",
        "credential": "MHS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2006019873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Gail Ebert, IV CERTIFIED L.P.N.
• Lara Fallon
• Brianna Nicole Flanigan
• Andrew Meade Flynn, M.A. CCC-SLP
• Allison Foddrill, DC
• Loren Gaillardetz
• Kerrianne Gallen, LCSW
• Gateway to Hope
• Giant Steps of St. Louis
• Giant Steps of St. Louis

• Speech-Language Pathologist in Maplewood, MO
• Providers in Maplewood, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.