Individual
LEISA THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1604 DEL MAR DR, CHARLOTTESVILLE, VA 22903-1318
(513) 600-3802
Mailing address
1604 DEL MAR DR, CHARLOTTESVILLE, VA 22903-1318
(513) 600-3802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006417
VA
Other
Enumeration date
09/05/2011
Last updated
09/05/2011
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