National Provider Identifier
Tara Leisegang
Tara Leisegang is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Victor, NY and a listed phone number of (585) 924-7207.
Profile Overview
- NPI
- 1912288101
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 01, 2011
- Last Updated
- November 19, 2012
Practice Location
- 590 Fishers Station Dr Ste 130
- Victor, NY 14564-9744
Phone: (585) 924-7207
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1912288101
- Entity Type
- Individual
- Last Name
- Leisegang
- First Name
- Tara
- Mailing Street Address
- 590 Fishers Station Dr Ste 130
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564-9744
- Mailing Country
- US
- Mailing Phone
- (585) 924-7207
- Mailing Fax
- (585) 924-7049
- Practice Street Address
- 590 Fishers Station Dr Ste 130
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-9744
- Practice Country
- US
- Practice Phone
- (585) 924-7207
- Practice Fax
- (585) 924-7049
- Enumeration Date
- September 01, 2011
- Last Updated
- November 19, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)