Provider Demographics
NPI:1184003956
Name:DOTY, LEAH (AUD)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:DOTY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-1548
Mailing Address - Country:US
Mailing Address - Phone:607-205-1041
Mailing Address - Fax:607-239-5156
Practice Address - Street 1:231 MAIN ST
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-1548
Practice Address - Country:US
Practice Address - Phone:607-205-1041
Practice Address - Fax:607-239-5156
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist