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Individual

MRS. JEANETTE STONE LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
715 CLINIC DRIVE, PURDUE UNIVERSITY, WEST LAFAYETTE, IN 47907
(765) 490-3435
(765) 496-1227
Mailing address
715 CLINIC DRIVE, PURDUE UNIVERSITY, WEST LAFAYETTE, IN 47907
(765) 490-3435
(765) 496-1227

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
23000978
IN
231H00000X
Audiologist
23000978A
IN
235Z00000X
Speech-Language Pathologist
22000978
IN
235Z00000X
Speech-Language Pathologist
Primary
23000978A
IN

Other

Enumeration date
08/02/2006
Last updated
09/09/2020
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