Provider Demographics
NPI:1124587597
Name:BUNCH, LEAH N (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:N
Last Name:BUNCH
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 1:3843 NANLYN FARM CIR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-6236
Mailing Address - Country:US
Mailing Address - Phone:215-595-6341
Mailing Address - Fax:
Practice Address - Street 1:780 NEWTOWN YARDLEY RD STE 321
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4502
Practice Address - Country:US
Practice Address - Phone:215-968-8812
Practice Address - Fax:360-364-8812
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL012650235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist