Provider Demographics
NPI:1700311792
Name:PLOCIDO, LEIGH CATHERINE (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LEIGH
Middle Name:CATHERINE
Last Name:PLOCIDO
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MISS
Other - First Name:LEIGH
Other - Middle Name:CATHERINE
Other - Last Name:WIKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 SHALLOWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-4779
Mailing Address - Country:US
Mailing Address - Phone:412-913-8584
Mailing Address - Fax:
Practice Address - Street 1:993 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:MOON TWP
Practice Address - State:PA
Practice Address - Zip Code:15108-2331
Practice Address - Country:US
Practice Address - Phone:412-474-3566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013388235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist