Provider Demographics
NPI:1598242349
Name:LEIKER, ALEXIS SHAY
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:SHAY
Last Name:LEIKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 OAK TER
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1333
Mailing Address - Country:US
Mailing Address - Phone:913-749-2134
Mailing Address - Fax:
Practice Address - Street 1:523 READING AVE
Practice Address - Street 2:STE D1
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1007
Practice Address - Country:US
Practice Address - Phone:484-258-9822
Practice Address - Fax:484-334-7448
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-24
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty