Provider Demographics
NPI:1447495650
Name:KUBIN, LEIGH A (CCC-SPL)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:A
Last Name:KUBIN
Suffix:
Gender:F
Credentials:CCC-SPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11904 CANTERBURY RD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209-1009
Mailing Address - Country:US
Mailing Address - Phone:913-469-5490
Mailing Address - Fax:
Practice Address - Street 1:7620 METCALF AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2928
Practice Address - Country:US
Practice Address - Phone:913-383-9014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS197235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist