Provider Demographics
NPI:1497986996
Name:LEASURE, DEBORAH J (HAS, BC-HIS, ACA)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:LEASURE
Suffix:
Gender:F
Credentials:HAS, BC-HIS, ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 DEL PRADO BLVD SOUTH #5
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990
Mailing Address - Country:US
Mailing Address - Phone:239-772-8101
Mailing Address - Fax:239-772-0079
Practice Address - Street 1:544 ARTHUR GODFREY RD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3510
Practice Address - Country:US
Practice Address - Phone:305-534-6333
Practice Address - Fax:305-534-6913
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS3471237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist