| Leigh Harter Speech Services, PLLC | |
|
3552 Avon St # 164 Hartland MI 48353-7722 | |
| (713) 542-8833 | |
| (810) 222-1066 |
| Full Name | Leigh Harter Speech Services, PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3552 Avon St # 164, Hartland, Michigan |
| Authorized Official Name and Position | Leigh Harter (OWNER) |
| Authorized Official Contact | 7135428833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leigh Harter Speech Services, PLLC 1402 Hunter Rd Brighton MI 48114-8727 Ph: (713) 542-8833 | Leigh Harter Speech Services, PLLC 3552 Avon St # 164 Hartland MI 48353-7722 Ph: (713) 542-8833 |
| NPI Number | 1609434034 |
|---|---|
| Provider Enumeration Date | 05/31/2019 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/13/2024 |
| Medicare PECOS PAC ID | 2062749062 |
|---|---|
| Medicare Enrollment ID | O20190814001555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609434034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
| 235Z00000X | Speech-language Pathologist | (NU) | Secondary |
| Provider Name | Alysha G Demay |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316478563 PECOS PAC ID: 2264718162 Enrollment ID: I20170407000060 |
| Provider Name | Leigh a Harter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992230247 PECOS PAC ID: 8426335282 Enrollment ID: I20170503001544 |
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