MEDICARE: SARAH LESLIE

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
1	235Z00000X	Speech-Language Pathologist	SP.10498	OH

General Provider Information

NPI Number	:	1245638261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH LESLIE

Provider Business Mailing Address
First Line	:	6005 VIRBET DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-1731
Country	:	US
Telephone Number	:	513-256-2793
Fax Number	:

Provider Business Practice Location Address
First Line	:	6005 VIRBET DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-1731
Country	:	US
Telephone Number	:	513-256-2793
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2014
Last Update Date	:	12/08/2014

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Directions to “ SARAH LESLIE ” Practice Location

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