Provider Demographics
NPI:1497087696
Name:MEYER, LEAH MARIN (MS CF/SLP)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:MARIN
Last Name:MEYER
Suffix:
Gender:F
Credentials:MS CF/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:847 WESTGATE AVE
Mailing Address - Street 2:#2
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-3411
Mailing Address - Country:US
Mailing Address - Phone:913-269-9984
Mailing Address - Fax:
Practice Address - Street 1:7733 FORSYTH BOULEVARD
Practice Address - Street 2:SUITE 2300
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105
Practice Address - Country:US
Practice Address - Phone:800-677-1238
Practice Address - Fax:314-863-0769
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009017042235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist