National Provider Identifier

Kim Marie Leach, CCC-SLP

Kim Marie Leach, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Gainesville, NY and a listed phone number of (585) 493-2581.

NPI 1912289182Gainesville, NYSpeech-Language Pathologist

Profile Overview

NPI
1912289182
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 14, 2011
Last Updated
September 14, 2011

Practice Location

  • 5550 School RD
  • Gainesville, NY 14066-9788

Phone: (585) 493-2581

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1912289182
Entity Type
Individual
Last Name
Leach
First Name
Kim
Middle Name
Marie
Name Prefix
Mrs.
Credential
CCC-SLP
Mailing Street Address
5550 School RD
Mailing City
Gainesville
Mailing State
NY
Mailing ZIP Code
14066-9788
Mailing Country
US
Practice Street Address
5550 School RD
Practice City
Gainesville
Practice State
NY
Practice ZIP Code
14066-9788
Practice Country
US
Practice Phone
(585) 493-2581
Enumeration Date
September 14, 2011
Last Updated
September 14, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)