Dessources, Leslie Anne

Dessources, Leslie Anne is an individual health care provider with primary practice located at 307 Bloomfield Ave , Caldwell NJ 07006-5164. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dessources, Leslie Anne can be contacted via phone (862) 621-9390.

Contact Information

Primary practice address
307 Bloomfield Ave Caldwell NJ 07006-5164
Phone: (862) 621-9390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 41YS01062800 New Jersey

Profile Details

NPI number 1700469996
LBN Legal business name Dessources, Leslie Anne
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2021
Last updated May 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700469996 NPPES
New Jersey Other 41YS01062800 SPEECH LANGAUGE PATHOLOGIST LICENSE

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