Individual
MRS. BEVERLY JEAN LEACHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
5415 W GALE CIR, SMITHVILLE, MO 64089-8468
(816) 803-8802
Mailing address
5415 W GALE CIR, SMITHVILLE, MO 64089-8468
(816) 803-8802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004021471
MO
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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