Individual
PATRICIA LEATHERBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
753 NW FORT SILL BLVD, LAWTON, OK 73507-5421
(580) 467-1990
Mailing address
753 NW FORT SILL BLVD, LAWTON, OK 73507-5421
(580) 467-1990
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3244
OK
Other
Enumeration date
08/28/2015
Last updated
11/30/2015
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