Provider Demographics
NPI:1598427221
Name:REEDY, LEAH J (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:J
Last Name:REEDY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 SILVER MAPLE FARMS RD
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08215-4621
Mailing Address - Country:US
Mailing Address - Phone:609-457-3979
Mailing Address - Fax:
Practice Address - Street 1:2614 SILVER MAPLE FARMS RD
Practice Address - Street 2:
Practice Address - City:EGG HARBOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08215-4621
Practice Address - Country:US
Practice Address - Phone:609-457-3979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist