Leonard William Mumie III, M.S., CCC-SLP/L
Speech-Language Pathologist, in Forksville, PA. Individual provider (NPI-1).
NPI number1043562010
StatusActive
Last updated in NPPESOct 15, 2012
Details
- NPI
- 1043562010
- Entity type
- Individual (NPI-1)
- Name
- Mr. Leonard William Mumie III
- Credential
- M.S., CCC-SLP/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2012
- Last updated
- Oct 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SL009095 | PA | Yes |
Practice location
5865 Route 154Forksville, PA 18616-8912
Phone 570-924-3411
Mailing address
910 McGuire RdApt. 8
Bloomsburg, PA 17815-8559
Phone 570-956-9676
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