Provider Demographics
NPI:1396908885
Name:PITTS, LEAH GRAHAM (MSCCC-SLP)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:GRAHAM
Last Name:PITTS
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:HAYNES
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 NORTHPOINTE CIR
Mailing Address - Street 2:STE. 302
Mailing Address - City:SEVEN FIELDS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-7861
Mailing Address - Country:US
Mailing Address - Phone:800-815-8577
Mailing Address - Fax:724-779-6407
Practice Address - Street 1:6336 CEDAR LN
Practice Address - Street 2:APT. 150
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3897
Practice Address - Country:US
Practice Address - Phone:410-531-6000
Practice Address - Fax:410-531-3402
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05771235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist