Individual
NICOLE LEAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
206 CAREY LN, ELIZABETHTOWN, KY 42701-2604
(602) 397-2401
Mailing address
206 CAREY LN, ELIZABETHTOWN, KY 42701-2604
(602) 397-2401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA16337
FL
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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