Provider Demographics
NPI:1558763508
Name:LEYRER, MICHELE LYNN (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:LYNN
Last Name:LEYRER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MISS
Other - First Name:MICHELE
Other - Middle Name:LYNN
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:1519 SOMERTON CT
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-5171
Mailing Address - Country:US
Mailing Address - Phone:513-942-5798
Mailing Address - Fax:
Practice Address - Street 1:1519 SOMERTON CT
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-5171
Practice Address - Country:US
Practice Address - Phone:513-942-5798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP. 5084235Z00000X
OHMM1026306235Z00000X
CASP 20682235Z00000X
KYKY-4231235Z00000X
KY201169758235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist