Provider Demographics
NPI:1386218493
Name:LEFLER-NOVAK, ANDEE MARIE
Entity type:Individual
Prefix:
First Name:ANDEE
Middle Name:MARIE
Last Name:LEFLER-NOVAK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 S SASHABAW RD
Mailing Address - Street 2:
Mailing Address - City:ORTONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48462-9163
Mailing Address - Country:US
Mailing Address - Phone:989-770-6449
Mailing Address - Fax:
Practice Address - Street 1:1625 S SASHABAW RD
Practice Address - Street 2:
Practice Address - City:ORTONVILLE
Practice Address - State:MI
Practice Address - Zip Code:48462-9163
Practice Address - Country:US
Practice Address - Phone:989-770-6449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7151013487235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist