Individual
LESLIE ELLEN WEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
11140 N HARRELLS FERRY RD, BATON ROUGE, LA 70816-8307
(225) 272-0150
(225) 275-0930
Mailing address
11140 N HARRELLS FERRY RD, BATON ROUGE, LA 70816-8307
(225) 272-0150
(225) 275-0930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7104
LA
235Z00000X
Speech-Language Pathologist
S2862
MS
Other
Enumeration date
03/19/2007
Last updated
08/13/2014
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