Individual
MRS. LESLIE NASTASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3182 BROOKSIDE DR, FURLONG, PA 18925-1287
(267) 880-6526
Mailing address
3182 BROOKSIDE DR, FURLONG, PA 18925-1287
(267) 880-6526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009346
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DONT HAVE
—
PA
Enumeration date
01/13/2015
Last updated
01/13/2015
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