Provider Demographics
NPI:1245756501
Name:LEPPLA, PATRICIA LOU (SPEECH PATHOLOGIST)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LOU
Last Name:LEPPLA
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
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Other - First Name:
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Mailing Address - Street 1:64 COMSTOCK ST
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45327-1004
Mailing Address - Country:US
Mailing Address - Phone:937-855-6581
Mailing Address - Fax:937-855-0267
Practice Address - Street 1:64 COMSTOCK ST
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:OH
Practice Address - Zip Code:45327-1004
Practice Address - Country:US
Practice Address - Phone:937-855-6581
Practice Address - Fax:937-855-0267
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.2390235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist