Provider Demographics
NPI:1609069665
Name:LEACH, VALERIE CHRISTINE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:CHRISTINE
Last Name:LEACH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 SHEPHERD LN
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4468
Mailing Address - Country:US
Mailing Address - Phone:630-674-6035
Mailing Address - Fax:
Practice Address - Street 1:630 SHEPHERD LN
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-4468
Practice Address - Country:US
Practice Address - Phone:630-674-6035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.008723235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist