Individual
LEAH FAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1132 CLINTON ST APT 614, HOBOKEN, NJ 07030-3228
(201) 247-8302
Mailing address
1132 CLINTON ST APT 614, HOBOKEN, NJ 07030-3228
(201) 247-8302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00664500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012478302
BLUE CROSS BLUE SHIELD
NJ
Enumeration date
07/14/2019
Last updated
07/14/2019
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