Provider Demographics
NPI:1467169722
Name:BENJAMIN, LEAH S (CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:LEAH
Middle Name:S
Last Name:BENJAMIN
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 1:5425 HAVERHILL DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-8215
Mailing Address - Country:US
Mailing Address - Phone:614-316-8174
Mailing Address - Fax:
Practice Address - Street 1:5700 PERIMETER DR STE A
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3253
Practice Address - Country:US
Practice Address - Phone:614-355-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.14047235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist