Provider Demographics
NPI:1922303452
Name:CORTESE, LEAH RACHEL (MS CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:RACHEL
Last Name:CORTESE
Suffix:
Gender:F
Credentials:MS CCC-SLP, TSSLD
Other - Prefix:MS
Other - First Name:LEAH
Other - Middle Name:RACHEL
Other - Last Name:RICHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP, TSSLD
Mailing Address - Street 1:21 HARDSCRABBLE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-4250
Mailing Address - Country:US
Mailing Address - Phone:201-247-1030
Mailing Address - Fax:
Practice Address - Street 1:379 MT HOPE RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-7135
Practice Address - Country:US
Practice Address - Phone:845-344-2292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020136-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist