Individual
MRS. KELLY ANN LEAVY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3090 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5310
(719) 573-8300
(719) 574-9547
Mailing address
5810 WISTERIA DR, COLORADO SPRINGS, CO 80919-4410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.7665
OH
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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