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1922303452 NPI number — LEAH RACHEL CORTESE M.S. CCC-SLP, TSSLD

NPI Number: 1922303452
Health Care Provider/Practitioner: LEAH RACHEL CORTESE M.S. CCC-SLP, TSSLD

Information about “1922303452” NPI (LEAH RACHEL CORTESE M.S. CCC-SLP, TSSLD) exists in 1922303452 in HTML format HTML  |  1922303452 in plain Text format TXT  |  1922303452 in PDF (Portable Document Format) PDF  |  1922303452 in an XML format XML  formats.

NPI Number : 1922303452 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922303452",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CORTESE",
    "FirstName": "LEAH",
    "MiddleName": "RACHEL",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.S. CCC-SLP, TSSLD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RICHMAN",
    "OtherFirstName": "LEAH",
    "OtherMiddleName": "RACHEL",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.S. CCC-SLP, TSSLD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "21 HARDSCRABBLE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHESTER",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10918-4250",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-247-1030",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "379 MT HOPE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDDLETOWN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10940-7135",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-344-2292",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/13/2011",
    "LastUpdateDate": "01/13/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "020136-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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