Youngblood, Leslie M
Youngblood, Leslie M is an individual health care provider with primary practice located at 4517 Southlake Pkwy , Birmingham AL 35244-3280. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Youngblood, Leslie M can be contacted via phone (205) 985-4111.Contact Information
Primary practice address
4517 Southlake Pkwy
Birmingham AL 35244-3280
Phone: (205) 985-4111
Fax: (205) 985-4326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1737 | Alabama |
Profile Details
| NPI number | 1902840655 |
|---|---|
| LBN Legal business name | Youngblood, Leslie M |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | May 22nd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902840655 | NPPES |
| Alabama | Other | 51528045 | BLUE CROSS |
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