Provider Demographics
NPI:1861386849
Name:LEISTER, KAYLEE ELIZABETH
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:ELIZABETH
Last Name:LEISTER
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 W RIDGE PIKE STE 479
Mailing Address - Street 2:
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1415
Mailing Address - Country:US
Mailing Address - Phone:484-369-8953
Mailing Address - Fax:
Practice Address - Street 1:451 W RIDGE PIKE STE 479
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-1415
Practice Address - Country:US
Practice Address - Phone:484-369-8953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist