Individual
DEBORAH LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
300 W CLARENDON AVE STE 115, PHOENIX, AZ 85013-3421
(602) 601-5382
(602) 207-8620
Mailing address
300 W CLARENDON AVE STE 115, PHOENIX, AZ 85013-3421
(602) 601-5382
(602) 207-8620
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1483
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705056
—
AZ
Enumeration date
11/30/2006
Last updated
11/08/2018
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