Provider Demographics
NPI:1477703759
Name:JOHNSON, LESLIE WEAVER (MS, CCC/SLP)
Entity Type:Individual
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First Name:LESLIE
Middle Name:WEAVER
Last Name:JOHNSON
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Gender:F
Credentials:MS, CCC/SLP
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Mailing Address - Street 1:211 FRIDAY CENTER DR
Mailing Address - Street 2:SUITE 2091, ROOM 2012
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9499
Mailing Address - Country:US
Mailing Address - Phone:919-966-0420
Mailing Address - Fax:919-966-9983
Practice Address - Street 1:101 MANNING DRIVE, NEUROSCIENCES BLDG.
Practice Address - Street 2:ROOM G0303, DEPT OF AUDIOLOGY AND SPEECH PATHOLOGY
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-843-0425
Practice Address - Fax:919-966-8690
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
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Provider Licenses
StateLicense IDTaxonomies
NC6512235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist