Provider Demographics
NPI:1417106170
Name:FLEISCHHAUER, LEAH CHRISTINE (AUD)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:CHRISTINE
Last Name:FLEISCHHAUER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2332 SWINSON FARM RD
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-9770
Mailing Address - Country:US
Mailing Address - Phone:919-802-1179
Mailing Address - Fax:919-266-1290
Practice Address - Street 1:305 COMMERCE AVE STE 101
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2971
Practice Address - Country:US
Practice Address - Phone:252-222-5256
Practice Address - Fax:252-222-5270
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5275231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2699723Medicare PIN