Provider Demographics
NPI:1578837092
Name:RINGLED, LEAH LYNN (MA, SLP)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:LYNN
Last Name:RINGLED
Suffix:
Gender:F
Credentials:MA, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2039 MERRIMAC DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2620
Mailing Address - Country:US
Mailing Address - Phone:910-705-1635
Mailing Address - Fax:
Practice Address - Street 1:2039 MERRIMAC DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-2620
Practice Address - Country:US
Practice Address - Phone:910-705-1635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-01
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9841235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist