Individual
JAMIE LEITSCHUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7579 WISTERIA DR, OLIVE BRANCH, MS 38654-6982
(615) 717-7471
Mailing address
7579 WISTERIA DR, OLIVE BRANCH, MS 38654-6982
(615) 717-7471
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1599
MS
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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