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NPI Code Detail

MEDICARE: MRS. LESLIE DIANE BREWER M.S., CCC-SLP

MEDICARE: MRS. LESLIE DIANE BREWER M.S., CCC-SLP
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 PathologistSP0000001294TN

General Provider Information

NPI Number : 1609941897
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LESLIE DIANE BREWER M.S., CCC-SLP
Provider Business Mailing Address
First Line : 66 FOXHOUND RD
Second Line :
City : PARIS
State : TN
Zip : 38242-6613
Country : US
Telephone Number : 731-641-8881
Fax Number :
Provider Business Practice Location Address
First Line : 800 VOLUNTEER DR
Second Line :
City : PARIS
State : TN
Zip : 38242-5472
Country : US
Telephone Number : 731-642-2535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. LESLIE DIANE BREWER M.S., CCC-SLP” Practice Location

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