| Jacqueline Leitsch, | |
|
N2325 Elm St, Wautoma, WI 54982-8093 | |
| (949) 813-8216 | |
| Not Available |
| Full Name | Jacqueline Leitsch |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | N2325 Elm St, Wautoma, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376353227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6810154 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Leitsch, N2325 Elm St, Wautoma, WI 54982-8093 Ph: (949) 813-8216 | Jacqueline Leitsch, N2325 Elm St, Wautoma, WI 54982-8093 Ph: (949) 813-8216 |
Lori Dale Erdman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 870, Wautoma, WI 54982 Phone: 920-787-4577 |
Cynthia Marie Mcmahon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 556 S Cambridge St, Wautoma, WI 54982 Phone: 920-787-7112 |