National Provider Identifier

Heather Raechel Leith, M.S.ED., CCC-SLP

Heather Raechel Leith, M.S.ED., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in North Tonawanda, NY and a listed phone number of (716) 692-1049.

NPI 1750518262North Tonawanda, NYSpeech-Language Pathologist

Profile Overview

NPI
1750518262
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 11, 2009
Last Updated
June 11, 2009

Practice Location

  • 603 Division St
  • North Tonawanda, NY 14120-4461

Phone: (716) 692-1049

Mailing Address

  • 624 Moore Ave
  • Tonawanda, NY 14223-1705

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1750518262
Entity Type
Individual
Last Name
Leith
First Name
Heather
Middle Name
Raechel
Credential
M.S.ED., CCC-SLP
Provider Other Last Name
White
Provider Other First Name
Heather
Provider Other Middle Name
Raechel
Provider Other Last Name Type Code
1
Mailing Street Address
624 Moore Ave
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14223-1705
Mailing Country
US
Mailing Phone
(716) 837-0696
Practice Street Address
603 Division St
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-4461
Practice Country
US
Practice Phone
(716) 692-1049
Enumeration Date
June 11, 2009
Last Updated
June 11, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)