Provider Demographics
NPI:1023535051
Name:LEBLANC, AIMEE ROSE (CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:AIMEE
Middle Name:ROSE
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S DUNTON AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3111
Mailing Address - Country:US
Mailing Address - Phone:847-758-7958
Mailing Address - Fax:
Practice Address - Street 1:1200 S DUNTON AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3111
Practice Address - Country:US
Practice Address - Phone:847-758-7958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist