Individual
MRS. CARRIE ANNE LEYHANE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 ENGLEWOOD AVE, EAST GREENBUSH, NY 12061-3900
(518) 207-2680
Mailing address
12 RUSTYVILLE RD, LOUDONVILLE, NY 12211-2104
(518) 512-3291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0125001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01409145
—
NY
Enumeration date
10/20/2011
Last updated
10/20/2011
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