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NPI Code Detail

MEDICARE: MRS. JULIE V. LEONARD MS. SLP/L

MEDICARE: MRS. JULIE V. LEONARD MS. SLP/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSL002087LPA

General Provider Information

NPI Number : 1003130923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE V. LEONARD MS. SLP/L
Provider Business Mailing Address
First Line : 20 CAREY FARMS RD
Second Line :
City : ERIE
State : PA
Zip : 16511-1607
Country : US
Telephone Number : 814-899-8600
Fax Number :
Provider Business Practice Location Address
First Line : 5416 E LAKE RD
Second Line :
City : ERIE
State : PA
Zip : 16511-1427
Country : US
Telephone Number : 814-899-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2010
Last Update Date : 03/22/2010

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