Provider Demographics
NPI:1427389576
Name:HIRTH, LEAH (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:
Last Name:HIRTH
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4413
Mailing Address - Country:US
Mailing Address - Phone:718-986-7648
Mailing Address - Fax:718-677-7521
Practice Address - Street 1:3820 14TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3610
Practice Address - Country:US
Practice Address - Phone:718-435-8080
Practice Address - Fax:718-435-8015
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008991235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist