Healthcare Provider Details

I. General information

NPI: 1477477941
Provider Name (Legal Business Name): LEAH SUNEE SINGLAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W ELIZABETH ST
ELIZABETH CITY NC
27909-4328
US

IV. Provider business mailing address

104 WOODHOUSE DR
GRANDY NC
27939-9799
US

V. Phone/Fax

Practice location:
  • Phone: 252-335-4303
  • Fax:
Mailing address:
  • Phone: 252-739-0257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: