Provider Demographics
NPI:1104984350
Name:MORSE, LEZLIE HOPE (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:LEZLIE
Middle Name:HOPE
Last Name:MORSE
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:MS
Other - First Name:LEZLIE
Other - Middle Name:HOPE
Other - Last Name:ESTABROCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3324 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830
Mailing Address - Country:US
Mailing Address - Phone:607-937-0770
Mailing Address - Fax:
Practice Address - Street 1:6838 INDUSTRIAL PARK RD
Practice Address - Street 2:NEW DIMENSIONS IN HEALTH CARE
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810
Practice Address - Country:US
Practice Address - Phone:607-776-0325
Practice Address - Fax:607-776-9366
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0107301235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist