MEDICARE: LEAH STEVENS 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
1	235Z00000X	Speech-Language Pathologist	9738	NC

General Provider Information

NPI Number	:	1831392661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH STEVENS CCC-SLP

Provider Business Mailing Address
First Line	:	2022 BUFFALO WAY
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-4771
Country	:	US
Telephone Number	:	919-885-9352
Fax Number	:

Provider Business Practice Location Address
First Line	:	2022 BUFFALO WAY STE 141
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-4771
Country	:	US
Telephone Number	:	919-885-9352
Fax Number	:

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

Provider Enumeration Date	:	06/08/2007
Last Update Date	:	06/02/2026

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Directions to “ LEAH STEVENS CCC-SLP” Practice Location

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