Provider Demographics
NPI:1275702904
Name:LEFTON, ANNE G (MA,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:G
Last Name:LEFTON
Suffix:
Gender:F
Credentials:MA,CCC-SLP
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9903 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE #568
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1671
Mailing Address - Country:US
Mailing Address - Phone:310-910-1287
Mailing Address - Fax:
Practice Address - Street 1:9903 SANTA MONICA BLVD
Practice Address - Street 2:SUITE #568
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1671
Practice Address - Country:US
Practice Address - Phone:310-910-1287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2016-05-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA556563Medicare PIN