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NPI Code Detail

MEDICARE: MRS. PHYLLIS M. LEHER M.A., CCC-SLP

MEDICARE: MRS. PHYLLIS M. LEHER M.A., 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 PathologistSP 0542OH

General Provider Information

NPI Number : 1639547920
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PHYLLIS M. LEHER M.A., CCC-SLP
Provider Business Mailing Address
First Line : 9464 US HIGHWAY 36
Second Line :
City : SAINT PARIS
State : OH
Zip : 43072-9367
Country : US
Telephone Number : 937-663-4449
Fax Number :
Provider Business Practice Location Address
First Line : 9464 US HIGHWAY 36
Second Line :
City : SAINT PARIS
State : OH
Zip : 43072-9367
Country : US
Telephone Number : 937-663-4449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2015
Last Update Date : 09/03/2015

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