Individual
JILL LEABMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1003 SPRUCE ST, APARTMENT 2R, PHILADELPHIA, PA 19107-6711
(860) 539-8243
Mailing address
1003 SPRUCE ST, APARTMENT 2R, PHILADELPHIA, PA 19107-6711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
010001547
DE
235Z00000X
Speech-Language Pathologist
Primary
SL013208
PA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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