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NPI Code Detail

MEDICARE: MRS. SONIA YUDHIT LEYVA M.A., CCC-SLP

MEDICARE: MRS. SONIA YUDHIT LEYVA M.A., 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
1235Z00000XSpeech-Language Pathologist001954IA

General Provider Information

NPI Number : 1740519917
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SONIA YUDHIT LEYVA M.A., CCC-SLP
Provider Business Mailing Address
First Line : 5406 MERLE HAY RD
Second Line :
City : JOHNSTON
State : IA
Zip : 50131-1209
Country : US
Telephone Number : 515-727-8750
Fax Number : 515-727-8757
Provider Business Practice Location Address
First Line : 2350 OAKDALE BLVD
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-9702
Country : US
Telephone Number : 319-351-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2009
Last Update Date : 05/27/2021

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Directions to “ MRS. SONIA YUDHIT LEYVA M.A., CCC-SLP” Practice Location

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