Individual
MITZI LYNN LEAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
865 TIMBER LAKE TRL, CUMMING, GA 30041-8608
(678) 456-8978
Mailing address
2715 SEABISCUIT RD, CELINA, TX 75009-1424
(214) 856-3486
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112765
TX
Other
Enumeration date
01/20/2014
Last updated
07/21/2022
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