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NPI Code Detail

MEDICARE: LESLYE PRYOR SLP

MEDICARE: LESLYE PRYOR SLP
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 PathologistSLP005652GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184602559
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLYE PRYOR SLP
Provider Business Mailing Address
First Line : 2601 WOODLAND PARK DR
Second Line : APT 6213
City : HOUSTON
State : TX
Zip : 77077-6161
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 675 SEMINOLE AVE NE
Second Line : SUITE T05
City : ATLANTA
State : GA
Zip : 30307-3408
Country : US
Telephone Number : 404-575-4000
Fax Number : 404-575-4010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 05/17/2012

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Directions to “ LESLYE PRYOR SLP” Practice Location

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