Individual
LEIGH ANN WIEDMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP CBIS
Contact information
Practice address
11901 SHELBYVILLE RD, LOUISVILLE, KY 40243-1040
(502) 245-3774
(502) 254-8767
Mailing address
1419 NIGHTINGALE LN, GOSHEN, KY 40026-9459
(502) 432-6638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
142400
KY
Other
Enumeration date
07/07/2025
Last updated
07/08/2025
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