Provider Demographics
NPI:1134215924
Name:FREDERICK-TOTH, LEAH C (AUD)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:C
Last Name:FREDERICK-TOTH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:C
Other - Last Name:FREDERICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:7227 GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4853
Mailing Address - Country:US
Mailing Address - Phone:330-629-2144
Mailing Address - Fax:330-629-2140
Practice Address - Street 1:7227 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-4853
Practice Address - Country:US
Practice Address - Phone:330-629-2144
Practice Address - Fax:330-629-2140
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-00902231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2591584Medicaid
OHFR4120671Medicare PIN