MEDICARE: MS. LESLIE JOY KYRIMES M.S., CCC-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
1	235Z00000X	Speech-Language Pathologist	SA 4221	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1588767693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LESLIE JOY KYRIMES M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	PO BOX 290370
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33329-0370
Country	:	US
Telephone Number	:	954-262-4346
Fax Number	:	954-262-2269

Provider Business Practice Location Address
First Line	:	3301 COLLEGE AVE
Second Line	:	FSEHS-GR #305
City	:	DAVIE
State	:	FL
Zip	:	33314-7721
Country	:	US
Telephone Number	:	954-262-7726
Fax Number	:	954-262-7747

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

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	05/17/2025

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Directions to “ MS. LESLIE JOY KYRIMES M.S., CCC-SLP” Practice Location

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