Individual
CARMEN PEREZ-LEAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1514 FAIRMOUNT AVE APT 3, PHILADELPHIA, PA 19130-2917
(678) 362-2504
Mailing address
1514 FAIRMOUNT AVE APT 3, PHILADELPHIA, PA 19130-2917
(678) 362-2504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014143
PA
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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