Individual
MS. LESLEY DENISE LARIVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
5116 N 176TH ST, OMAHA, NE 68116-3178
(402) 415-1682
Mailing address
5116 N 176TH ST, OMAHA, NE 68116-3178
(402) 415-1682
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1017
NE
Other
Enumeration date
01/20/2012
Last updated
04/03/2020
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