Individual
MS. SUSAN ELIZABETH LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
4104 AMBERLY WAY, LOUISVILLE, KY 40241-4119
(502) 553-2771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1228
KY
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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