Individual
JENNIFER LEAUBY HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
200 E NORTH AVE, BALTIMORE, MD 21202-5984
(717) 951-5133
Mailing address
200 E NORTH AVE, BALTIMORE, MD 21202-5984
(717) 951-5133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007181
GA
Other
Enumeration date
12/04/2009
Last updated
06/10/2025
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