Provider Demographics
NPI:1952023491
Name:HERZBERG, LEAH ARIELLA (SLP-CF)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:ARIELLA
Last Name:HERZBERG
Suffix:
Gender:F
Credentials:SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 RIVER ST APT 1R
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-1600
Mailing Address - Country:US
Mailing Address - Phone:516-668-6475
Mailing Address - Fax:
Practice Address - Street 1:223 JAMES A POLLOCK DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-4937
Practice Address - Country:US
Practice Address - Phone:603-624-6338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist