Provider Demographics
NPI:1336511823
Name:KOLESAR, LEAH FRANCES (MA CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:FRANCES
Last Name:KOLESAR
Suffix:
Gender:F
Credentials:MA CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 NORTHEAST AVE
Mailing Address - Street 2:APT A205
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-1483
Mailing Address - Country:US
Mailing Address - Phone:330-998-2263
Mailing Address - Fax:
Practice Address - Street 1:447 NORTHEAST AVE
Practice Address - Street 2:APT A205
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-1483
Practice Address - Country:US
Practice Address - Phone:330-998-2263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.2016070235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist