National Provider Identifier

Leia Darrah Kingsley Garrett, M.S.CCC-SLP

Leia Darrah Kingsley Garrett, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Geneva, NY and a listed phone number of (315) 787-4738.

NPI 1073334983Geneva, NYSpeech-Language Pathologist

Profile Overview

NPI
1073334983
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 23, 2024
Last Updated
October 23, 2024

Practice Location

  • 196 North St
  • Geneva, NY 14456-1651

Phone: (315) 787-4738

Mailing Address

  • 21 Lynaugh RD
  • Victor, NY 14564-9320

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1073334983
Entity Type
Individual
Last Name
Garrett
First Name
Leia
Middle Name
Darrah Kingsley
Credential
M.S.CCC-SLP
Mailing Street Address
21 Lynaugh RD
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-9320
Mailing Country
US
Practice Street Address
196 North St
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-1651
Practice Country
US
Practice Phone
(315) 787-4738
Practice Fax
(315) 787-4573
Enumeration Date
October 23, 2024
Last Updated
October 23, 2024
Sex
Female
Sole Proprietor
No
Certification Date
October 23, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)