Provider Demographics
NPI:1205001146
Name:VANFRANK, LESLIE SUSAN (MA, CCC:SLP)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:SUSAN
Last Name:VANFRANK
Suffix:
Gender:F
Credentials:MA, CCC:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 BROADWAY
Mailing Address - Street 2:LEAGUE FOR THE HARD OF HEARING
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-1607
Mailing Address - Country:US
Mailing Address - Phone:917-305-7839
Mailing Address - Fax:917-305-7849
Practice Address - Street 1:50 BROADWAY
Practice Address - Street 2:LEAGUE FOR THE HARD OF HEARING
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-1607
Practice Address - Country:US
Practice Address - Phone:917-305-7839
Practice Address - Fax:917-305-7849
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006572-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist