MEDICARE: MRS. LEAH RENE' SINGH 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	6368	LA

General Provider Information

NPI Number	:	1598051658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LEAH RENE' SINGH CCC-SLP

Provider Business Mailing Address
First Line	:	9503 MAGNOLIA XING
Second Line	:
City	:	GREENWELL SPRINGS
State	:	LA
Zip	:	70739-4652
Country	:	US
Telephone Number	:	225-278-6015
Fax Number	:

Provider Business Practice Location Address
First Line	:	9503 MAGNOLIA XING
Second Line	:
City	:	GREENWELL SPRINGS
State	:	LA
Zip	:	70739-4652
Country	:	US
Telephone Number	:	225-278-6015
Fax Number	:

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

Provider Enumeration Date	:	06/27/2011
Last Update Date	:	04/15/2021

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