Individual
MS. LISA JEAN LEONARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
6865 NOBLE ST, COLORADO SPRINGS, CO 80915-3152
(719) 660-4964
(719) 219-6749
Mailing address
6865 NOBLE ST, COLORADO SPRINGS, CO 80915-3152
(719) 660-4964
(719) 219-6749
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
00932053 ASHA
CO
235Z00000X
Speech-Language Pathologist
Primary
0175900
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20181787
—
CO
Enumeration date
06/14/2006
Last updated
07/09/2007
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