Provider Demographics
NPI:1831081959
Name:RYDER, LESLI NOEL (MA,CCC-SLP)
Entity type:Individual
Prefix:
First Name:LESLI
Middle Name:NOEL
Last Name:RYDER
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:LESLI
Other - Middle Name:NOEL
Other - Last Name:KLINGINSMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,CCC-SLP
Mailing Address - Street 1:PO BOX 667
Mailing Address - Street 2:
Mailing Address - City:GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:44232-0667
Mailing Address - Country:US
Mailing Address - Phone:330-896-9119
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 667
Practice Address - Street 2:
Practice Address - City:GREEN
Practice Address - State:OH
Practice Address - Zip Code:44232-0667
Practice Address - Country:US
Practice Address - Phone:330-896-9119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP05295235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist