Provider Demographics
NPI:1912980707
Name:SIMS, LESLIE LEANNE (MS CCC-A)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:LEANNE
Last Name:SIMS
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USNH PSC 827
Mailing Address - Street 2:BOX 17
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09617
Mailing Address - Country:IT
Mailing Address - Phone:335-828-1355
Mailing Address - Fax:
Practice Address - Street 1:USNH PSC 827
Practice Address - Street 2:BOX 17
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09617
Practice Address - Country:IT
Practice Address - Phone:335-828-1355
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE#97231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist