Provider Demographics
NPI:1841323433
Name:HABEGGER, MARY LEA (SLP)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:LEA
Last Name:HABEGGER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-6690
Mailing Address - Country:US
Mailing Address - Phone:513-583-0936
Mailing Address - Fax:513-583-5568
Practice Address - Street 1:2222 SPRINGDALE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1805
Practice Address - Country:US
Practice Address - Phone:513-851-7888
Practice Address - Fax:513-589-3444
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-1571235Z00000X
OHSP-4774235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist