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NPI Code Detail

MEDICARE: LESLIE PAIGE ANDERSON

MEDICARE: LESLIE PAIGE ANDERSON
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 Pathologist110353TX

General Provider Information

NPI Number : 1508347352
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE PAIGE ANDERSON
Provider Business Mailing Address
First Line : 5241 MARSH LN
Second Line :
City : BUDA
State : TX
Zip : 78610-5253
Country : US
Telephone Number : 870-636-8288
Fax Number :
Provider Business Practice Location Address
First Line : 4501 DUDMAR DR
Second Line :
City : AUSTIN
State : TX
Zip : 78735-6913
Country : US
Telephone Number : 512-892-1131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 08/28/2018

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Directions to “ LESLIE PAIGE ANDERSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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