LATECIA SHACOLE LEAVY SLPA NPI 1053751396

NPI Information

NPI: 1053751396
Provider Name: LATECIA SHACOLE LEAVY, SLPA
Classification: Specialist/Technologist - 2355S0801X
Entity Type: Individual

Specialization: Speech-Language Assistant

Address:
12315 S LINCOLN ST
CALUMET PARK, IL
ZIP 60827
Phone: (312) 933-4320
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Latecia Shacole Leavy, SLPA is a speech-language assistant specialist technologist in Calumet Park, IL. Latecia Shacole Leavy, SLPA NPI is 1053751396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12315 S LINCOLN ST
CALUMET PARK, IL
ZIP 60827-622
Phone: (312) 933-4320

The enumeration date for this NPI number is 7/1/2013 and was last updated on 7/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2355S0801X	Specialist/Technologist	Speech-Language Assistant	217000244	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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