Provider Demographics
NPI:1750583860
Name:LEGLER, PAMELA M (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:M
Last Name:LEGLER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3731 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-0975
Mailing Address - Country:US
Mailing Address - Phone:828-586-1612
Mailing Address - Fax:828-586-0420
Practice Address - Street 1:919 HAYWOOD RD
Practice Address - Street 2:STE 101
Practice Address - City:DILLSBORO
Practice Address - State:NC
Practice Address - Zip Code:28725
Practice Address - Country:US
Practice Address - Phone:828-586-1612
Practice Address - Fax:828-586-0420
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7445235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7445OtherLICENSURE