Provider Demographics
NPI:1760633754
Name:RHAME, LELAND W (MED,CCC-A)
Entity Type:Individual
Prefix:MR
First Name:LELAND
Middle Name:W
Last Name:RHAME
Suffix:
Gender:M
Credentials:MED,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 W FLEMING DR STE B
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3956
Mailing Address - Country:US
Mailing Address - Phone:828-433-7452
Mailing Address - Fax:828-437-4862
Practice Address - Street 1:406 W FLEMING DR STE B
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3956
Practice Address - Country:US
Practice Address - Phone:828-433-7452
Practice Address - Fax:828-437-4862
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC482231H00000X
NC475237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist