Provider Demographics
NPI:1699579474
Name:LEONARD, EMMA GIBSON (AUD)
Entity type:Individual
Prefix:DR
First Name:EMMA
Middle Name:GIBSON
Last Name:LEONARD
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 10TH AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-3604
Mailing Address - Country:US
Mailing Address - Phone:706-507-2307
Mailing Address - Fax:
Practice Address - Street 1:1900 10TH AVE STE 211
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3604
Practice Address - Country:US
Practice Address - Phone:706-507-2307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist