Provider Demographics
NPI:1033355920
Name:PADAWER, LEAH (MS)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:
Last Name:PADAWER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:LIBERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:164 LAUREL PARK ROAD
Mailing Address - Street 2:
Mailing Address - City:FALLSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12733-5041
Mailing Address - Country:US
Mailing Address - Phone:845-436-9566
Mailing Address - Fax:
Practice Address - Street 1:164 LAUREL PARK ROAD
Practice Address - Street 2:
Practice Address - City:FALLSBURG
Practice Address - State:NY
Practice Address - Zip Code:12733-5041
Practice Address - Country:US
Practice Address - Phone:845-436-9566
Practice Address - Fax:845-436-9566
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-23
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013323-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist