Individual
JAMES ROBERT LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S./CCC-SLP
Contact information
Practice address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(208) 243-5869
Mailing address
1318 SAND CREEK ST, IDAHO FALLS, ID 83404-8222
(208) 243-5869
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2563
ID
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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