Provider Demographics
NPI:1578643029
Name:LEADER SPEECH AND HEARING CENTER
Entity Type:Organization
Organization Name:LEADER SPEECH AND HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES-PABON
Authorized Official - Suffix:
Authorized Official - Credentials:M S CCC SLP
Authorized Official - Phone:814-732-2433
Mailing Address - Street 1:215 SCOTLAND RD
Mailing Address - Street 2:BROWN HUMAN SERVICES BLDG. - 2ND FLOOR
Mailing Address - City:EDINBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16444-0001
Mailing Address - Country:US
Mailing Address - Phone:814-732-2433
Mailing Address - Fax:814-732-2612
Practice Address - Street 1:215 SCOTLAND RD
Practice Address - Street 2:BROWN HUMAN SERVICES BLDG. - 2ND FLOOR
Practice Address - City:EDINBORO
Practice Address - State:PA
Practice Address - Zip Code:16444-0001
Practice Address - Country:US
Practice Address - Phone:814-732-2433
Practice Address - Fax:814-732-2612
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDINBORO UNIVERSITY OF PENNSYLVANIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-17
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech