Provider Demographics
NPI:1447687264
Name:LEAPHART, BARBARA CARLISLE (MSCCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:CARLISLE
Last Name:LEAPHART
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 HIDDEN ESTATES CIR
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-7843
Mailing Address - Country:US
Mailing Address - Phone:662-574-6699
Mailing Address - Fax:
Practice Address - Street 1:1604 W 18TH ST
Practice Address - Street 2:
Practice Address - City:PORTALES
Practice Address - State:NM
Practice Address - Zip Code:88130-7097
Practice Address - Country:US
Practice Address - Phone:595-359-4719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-11
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5421235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist