Individual
ASHTON LAURYN LEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC SLP
Contact information
Practice address
2907 AMBOY RD, STATEN ISLAND, NY 10306-2008
(347) 896-5955
Mailing address
25 STEELE AVE, STATEN ISLAND, NY 10306-2326
(917) 524-4684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
034761-01
NY
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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