Provider Demographics
NPI:1104178862
Name:RINGELHEIM, LEORA (SLP)
Entity Type:Individual
Prefix:
First Name:LEORA
Middle Name:
Last Name:RINGELHEIM
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 PINE TREE DR
Mailing Address - Street 2:APT 709
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3628
Mailing Address - Country:US
Mailing Address - Phone:908-208-9905
Mailing Address - Fax:
Practice Address - Street 1:4101 PINE TREE DR
Practice Address - Street 2:APT 709
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3628
Practice Address - Country:US
Practice Address - Phone:908-208-9905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ5927235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist