Provider Demographics
NPI:1497725840
Name:LEGER, JOCELYNE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JOCELYNE
Middle Name:
Last Name:LEGER
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 1:120 BOYLSTON STREET
Mailing Address - Street 2:ROBBINS SPEECH, LANGUAGE & HEARING CENTER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116
Mailing Address - Country:US
Mailing Address - Phone:617-824-8323
Mailing Address - Fax:
Practice Address - Street 1:216 TREMONT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-4710
Practice Address - Country:US
Practice Address - Phone:617-824-3968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4830235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASP0081OtherBLUE CROSS
MA0030117OtherNEIGHBORHOOD HEALTH PLAN
MA0327930Medicaid