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Individual

RYAN DAVID LEAHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
1303 S JACKSON ST STE A, FRANKFORT, IN 46041-3314
(765) 202-4221
Mailing address
1335 S 650 W, DELPHI, IN 46923-8922
(765) 202-4221

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002729A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23002729A
AUDIOLOGIST STATE LICENSE
IN
Enumeration date
08/12/2020
Last updated
09/25/2023
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