Provider Demographics
NPI:1508504523
Name:BEEKMAN, LEAH MICHELE (PHD,CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:MICHELE
Last Name:BEEKMAN
Suffix:
Gender:F
Credentials:PHD,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2777 ALTON PKWY APT 133
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-3145
Mailing Address - Country:US
Mailing Address - Phone:201-492-0084
Mailing Address - Fax:
Practice Address - Street 1:2777 ALTON PKWY
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-3143
Practice Address - Country:US
Practice Address - Phone:201-492-0084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28929235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist