Provider Demographics
NPI:1801139092
Name:CODY, LESLIE JEAN (AUD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:JEAN
Last Name:CODY
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 1:412 S HIGHLAND AVE
Mailing Address - Street 2:APT. 26
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-4262
Mailing Address - Country:US
Mailing Address - Phone:603-957-8081
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY DRIVE (132 A-U)
Practice Address - Street 2:VAPHS
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240
Practice Address - Country:US
Practice Address - Phone:412-360-6448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006289231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist