Individual
TARA LEIBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2655 HOPEWELL PLANTATION DR, ALPHARETTA, GA 30004-3657
(248) 981-6590
Mailing address
2655 HOPEWELL PLANTATION DR, ALPHARETTA, GA 30004-3657
(248) 981-6590
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.010061
IL
235Z00000X
Speech-Language Pathologist
Primary
SLP008661
GA
Other
Enumeration date
10/21/2009
Last updated
10/20/2014
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