Healthcare Provider Details

I. General information

NPI: 1831345685
Provider Name (Legal Business Name): LEAH ESTHER SHEARER M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 MONTROSE AVE
TEMPLE TERRACE FL
33617-3837
US

IV. Provider business mailing address

507 MONTROSE AVE
TEMPLE TERRACE FL
33617-3837
US

V. Phone/Fax

Practice location:
  • Phone: 256-497-4632
  • Fax:
Mailing address:
  • Phone: 256-497-4632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3933
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: