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NPI Code Detail

MEDICARE: MRS. MICHELLE LEONE MS, SLP-CCC

MEDICARE: MRS. MICHELLE LEONE MS, SLP-CCC
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
1235Z00000XSpeech-Language Pathologist004146CT

General Provider Information

NPI Number : 1073744330
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE LEONE MS, SLP-CCC
Provider Business Mailing Address
First Line : 57 BEELZEBUB RD
Second Line :
City : SOUTH WINDSOR
State : CT
Zip : 06074-2222
Country : US
Telephone Number : 860-805-0247
Fax Number :
Provider Business Practice Location Address
First Line : 1715 ELLINGTON RD
Second Line :
City : SOUTH WINDSOR
State : CT
Zip : 06074-2707
Country : US
Telephone Number : 860-432-9555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2009
Last Update Date : 08/05/2009

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Directions to “ MRS. MICHELLE LEONE MS, SLP-CCC” Practice Location

Language Start Address Practice Location
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