Individual
MR. LEONARD WILLIAM MUMIE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP/L
Contact information
Practice address
5865 ROUTE 154, FORKSVILLE, PA 18616-8912
(570) 924-3411
Mailing address
910 MCGUIRE RD, APT. 8, BLOOMSBURG, PA 17815-8559
(570) 956-9676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009095
PA
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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