Provider Demographics
NPI:1588208433
Name:LEBORGNE, CLAIRE (MA, SLP-CCC)
Entity type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:
Last Name:LEBORGNE
Suffix:
Gender:F
Credentials:MA, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9401 E 145TH AVE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-5707
Mailing Address - Country:US
Mailing Address - Phone:720-240-6681
Mailing Address - Fax:
Practice Address - Street 1:9401 E 145TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-5707
Practice Address - Country:US
Practice Address - Phone:720-240-6681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist