MEDICARE: ALISON J LESCHINSKI CCC-A

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
1	231H00000X	Audiologist	820	MA

General Provider Information

NPI Number	:	1225001902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON J LESCHINSKI CCC-A

Provider Business Mailing Address
First Line	:	7 PLEASANT ST
Second Line	:	UNIT #1
City	:	CHARLESTOWN
State	:	MA
Zip	:	02129-3601
Country	:	US
Telephone Number	:	617-314-6612
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 LONGWOOD AVE
Second Line	:	FLOOR 3
City	:	BOSTON
State	:	MA
Zip	:	02115-5711
Country	:	US
Telephone Number	:	617-355-6461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2006
Last Update Date	:	07/08/2007

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