Leahy, Sandra Lynn

Leahy, Sandra Lynn is an individual health care provider with primary practice located at 3241 Racquet Club Dr Suite B, Traverse City MI 49684-4708. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Leahy, Sandra Lynn can be contacted via phone (231) 922-1500.

Contact Information

Primary practice address
3241 Racquet Club Dr Suite B Traverse City MI 49684-4708
Fax: (231) 922-1502
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000288 Michigan

Profile Details

NPI number 1962542530
LBN Legal business name Leahy, Sandra Lynn
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Nov 13th, 2012 - about 12 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 1962542530 NPPES
Michigan Other 1601000288 LICENSE

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