Individual
MRS. STACEY L LEACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1209 FALCON DR, LOUISVILLE, KY 40213-1217
(502) 876-2394
(502) 290-3638
Mailing address
1209 FALCON DR, LOUISVILLE, KY 40213-1217
(502) 876-2394
(502) 290-3638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY2660
KY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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