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NPI Code Detail

MEDICARE: LESLIE ROEHRIG

MEDICARE: LESLIE ROEHRIG
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 PathologistSP4119OH

General Provider Information

NPI Number : 1205251956
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE ROEHRIG
Provider Business Mailing Address
First Line : 5858 BRIDGETOWN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-3106
Country : US
Telephone Number : 513-574-2372
Fax Number : 513-598-2963
Provider Business Practice Location Address
First Line : 5858 BRIDGETOWN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-3106
Country : US
Telephone Number : 513-574-2372
Fax Number : 513-598-2963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2014
Last Update Date : 03/04/2014

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Directions to “ LESLIE ROEHRIG ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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