# LEITMAN SPEECH PATHOLOGY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518381912
- **Authorized official:** MR. JACOB LEITMAN MA (OWNER)
- **Authorized official phone:** (732) 410-7842

## Contact information

- **Practice address:** 26 PINE BLVD, SUITE 4, LAKEWOOD, NJ 08701-5284
- **Practice address phone:** (732) 410-7820
- **Practice address fax:** (732) 410-7821
- **Mailing address:** 26 PINE BLVD, SUITE 4, LAKEWOOD, NJ 08701-5284
- **Mailing address phone:** (732) 410-7820
- **Mailing address fax:** (732) 410-7821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 41YS00507600 | NJ | Yes |

## Other

- **Enumeration date:** 02/06/2014
- **Last updated:** 02/06/2014