Individual
SCOTT JEFFREY LEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
4721 BROOKSHIRE CT, WISCONSIN RAPIDS, WI 54494-9795
(715) 423-1555
Mailing address
4721 BROOKSHIRE CT, WISCONSIN RAPIDS, WI 54494-9795
(715) 423-1555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2518-154
WI
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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