Provider Demographics
NPI:1932495462
Name:CARR, LEIGH K (SLP)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:K
Last Name:CARR
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 1:2147 GLEN ARBOR DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-3210
Mailing Address - Country:US
Mailing Address - Phone:567-363-0073
Mailing Address - Fax:
Practice Address - Street 1:2147 GLEN ARBOR DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-3210
Practice Address - Country:US
Practice Address - Phone:567-363-0073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.12365235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist