Individual
MS. ELLEN C LEIBSLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
179 MOUNTAIN AVE, SUMMIT, NJ 07901-3215
(914) 588-5288
Mailing address
179 MOUNTAIN AVE, SUMMIT, NJ 07901-3215
(914) 588-5288
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
029522
NY
235Z00000X
Speech-Language Pathologist
Primary
41YS01106800
NJ
Other
Enumeration date
02/28/2019
Last updated
09/10/2025
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