Karyn Leak, MS, CCC-SLP
Speech-Language Pathologist, in Louisville, IL. Individual provider (NPI-1).
NPI number1730695453
StatusActive
Last updated in NPPESDec 18, 2017
Details
- NPI
- 1730695453
- Entity type
- Individual (NPI-1)
- Name
- Karyn Leak
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2017
- Last updated
- Dec 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 146009785 | IL | Yes |
Practice location
550 Route 45 NLouisville, IL 62858-2628
Phone 618-665-3393 · Fax 618-665-4803
Mailing address
550 Route 45 NLouisville, IL 62858-2628
Phone 618-665-3393 · Fax 618-665-4803
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