Provider Demographics
NPI:1558043299
Name:REICHMANIS, LEAH DAWN (CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:DAWN
Last Name:REICHMANIS
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 1:2282 WOODS EDGE RD
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-9061
Mailing Address - Country:US
Mailing Address - Phone:330-719-7746
Mailing Address - Fax:
Practice Address - Street 1:1470 PRAY BLVD
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43566-8733
Practice Address - Country:US
Practice Address - Phone:419-315-9001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist