Provider Demographics
NPI:1649836883
Name:WESKAMP, LEAH CHRISTOPHER (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LEAH
Middle Name:CHRISTOPHER
Last Name:WESKAMP
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:LEAH
Other - Middle Name:ELIZABETH
Other - Last Name:CHRISTOPHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7917 KESSLER CT
Mailing Address - Street 2:
Mailing Address - City:FORT MOORE
Mailing Address - State:GA
Mailing Address - Zip Code:31905-9544
Mailing Address - Country:US
Mailing Address - Phone:559-430-4667
Mailing Address - Fax:
Practice Address - Street 1:7917 KESSLER CT
Practice Address - Street 2:
Practice Address - City:FORT MOORE
Practice Address - State:GA
Practice Address - Zip Code:31905-9544
Practice Address - Country:US
Practice Address - Phone:559-430-4667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-14
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist