Individual
AMY LEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
417 EMMET ST S, CHARLOTTESVILLE, VA 22903-2424
(434) 924-0542
Mailing address
1061 RAMBLEWOOD PL, CHARLOTTESVILLE, VA 22901-1291
(434) 964-1855
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003436
VA
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
08/14/2009
Last updated
07/11/2011
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