Provider Demographics
NPI:1699910836
Name:ARONIN, LESLIE DAVIS (MS CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:DAVIS
Last Name:ARONIN
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:MS
Other - First Name:LESLIE
Other - Middle Name:FAYE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSCCC/SLP
Mailing Address - Street 1:619 JUNE CT
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3022
Mailing Address - Country:US
Mailing Address - Phone:516-374-7220
Mailing Address - Fax:516-374-7220
Practice Address - Street 1:619 JUNE CT
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3022
Practice Address - Country:US
Practice Address - Phone:516-374-7220
Practice Address - Fax:516-374-7220
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02098235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist