Provider Demographics
NPI:1447449301
Name:DOWLING, LESLIE B (SPEECH PATHOLOGIST M)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:B
Last Name:DOWLING
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ROSS ROAD
Mailing Address - Street 2:JUMP START
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583
Mailing Address - Country:US
Mailing Address - Phone:914-725-1054
Mailing Address - Fax:
Practice Address - Street 1:6 ROSS ROAD
Practice Address - Street 2:JUMP START
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583
Practice Address - Country:US
Practice Address - Phone:914-725-1054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4420235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist