Provider Demographics
NPI:1619026176
Name:POSTIZZI, LEIGH ANNE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANNE
Last Name:POSTIZZI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:ANNE
Other - Last Name:PORTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSM CCC-SLP
Mailing Address - Street 1:728 SAN GABRIEL PL
Mailing Address - Street 2:APT #2
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-8036
Mailing Address - Country:US
Mailing Address - Phone:619-692-0622
Mailing Address - Fax:619-692-0644
Practice Address - Street 1:7801 MISSION CENTER CT
Practice Address - Street 2:SUITE 104
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1313
Practice Address - Country:US
Practice Address - Phone:619-692-0622
Practice Address - Fax:619-692-0644
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP14444235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist