Provider Demographics
NPI:1801920962
Name:SMITH, LESLIE DAWN (MS-CCC SLP)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:DAWN
Last Name:SMITH
Suffix:
Gender:
Credentials:MS-CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7414 F ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2625
Mailing Address - Country:US
Mailing Address - Phone:501-517-4118
Mailing Address - Fax:
Practice Address - Street 1:7414 F ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2625
Practice Address - Country:US
Practice Address - Phone:501-517-4118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP# 810235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist