Provider Demographics
NPI:1891810347
Name:LEADER, BARBARA J (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:LEADER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22 SAW MILL RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1533
Mailing Address - Country:US
Mailing Address - Phone:914-594-4307
Mailing Address - Fax:914-594-4853
Practice Address - Street 1:30 PLAZA W
Practice Address - Street 2:VOSBURGH PAVILION
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1572
Practice Address - Country:US
Practice Address - Phone:914-594-4912
Practice Address - Fax:914-594-4853
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001350-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist