Provider Demographics
NPI:1942594957
Name:GOLDSCHMID, LESLIE S(CHMONES) (SLP)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:S(CHMONES)
Last Name:GOLDSCHMID
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MISS
Other - First Name:LESLIE
Other - Middle Name:ELLEN
Other - Last Name:SCHMONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:250 MURRAY AVE.
Mailing Address - Street 2:MURRAY AVENUE SCHOOL
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538
Mailing Address - Country:US
Mailing Address - Phone:914-220-3701
Mailing Address - Fax:914-220-3715
Practice Address - Street 1:250 MURRAY AVE.
Practice Address - Street 2:MURRAY AVENUE SCHOOL
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538
Practice Address - Country:US
Practice Address - Phone:914-220-3701
Practice Address - Fax:914-220-3715
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0019671235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist