Healthcare Provider Details

I. General information

NPI: 1609434034
Provider Name (Legal Business Name): LEIGH HARTER SPEECH SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2019
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3552 AVON ST # 164
HARTLAND MI
48353-7722
US

IV. Provider business mailing address

1402 HUNTER RD
BRIGHTON MI
48114-8727
US

V. Phone/Fax

Practice location:
  • Phone: 713-542-8833
  • Fax: 810-222-1066
Mailing address:
  • Phone: 713-542-8833
  • Fax: 810-222-1066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEIGH HARTER
Title or Position: OWNER
Credential: SLP
Phone: 713-542-8833