Provider Demographics
NPI:1083764609
Name:BRESSLER, LEILA NADEL (MED, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LEILA
Middle Name:NADEL
Last Name:BRESSLER
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5925 WOODVINE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-4347
Mailing Address - Country:US
Mailing Address - Phone:803-740-2336
Mailing Address - Fax:
Practice Address - Street 1:5925 WOODVINE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-4347
Practice Address - Country:US
Practice Address - Phone:803-740-2336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3910235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist