Provider Demographics
NPI:1013201425
Name:CHOUEKA, LEILA (MA)
Entity Type:Individual
Prefix:MRS
First Name:LEILA
Middle Name:
Last Name:CHOUEKA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 UNION ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08611-2800
Mailing Address - Country:US
Mailing Address - Phone:609-393-8622
Mailing Address - Fax:
Practice Address - Street 1:512 UNION ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611-2800
Practice Address - Country:US
Practice Address - Phone:609-393-8622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00674600235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist