Provider Demographics
NPI:1255481685
Name:LEAGJELD-SPITTLE, TRICIA JANE (HEARING AID SPECIAL)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:JANE
Last Name:LEAGJELD-SPITTLE
Suffix:
Gender:F
Credentials:HEARING AID SPECIAL
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:JANE
Other - Last Name:LEAGJELD-STORCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 SHUMAN BOULEVARD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8123
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:978-313-6824
Practice Address - Street 1:932 NE THIRD STREET
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701
Practice Address - Country:US
Practice Address - Phone:541-382-3308
Practice Address - Fax:541-318-0767
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR237700000X
ORHAS-P-214709237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist