Provider Demographics
NPI:1205247962
Name:WALKER, LESLIE DENISE (AUD)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:DENISE
Last Name:WALKER
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 1:151 NW 11TH ST
Mailing Address - Street 2:SUITE W-301
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4360
Mailing Address - Country:US
Mailing Address - Phone:305-247-8227
Mailing Address - Fax:305-247-8228
Practice Address - Street 1:151 NW 11TH ST
Practice Address - Street 2:SUITE W-301
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4360
Practice Address - Country:US
Practice Address - Phone:305-247-8227
Practice Address - Fax:305-247-8228
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1533231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist