Active NPIIndividual provider

Miss Leslie A Dessources, MS, CCC-SLP

Speech-Language Pathologist, in Caldwell, New Jersey

NPI Number1700469996
Practice location
307 Bloomfield Ave, Caldwell, NJ 07006-5164
Fax
—
Last updated
January 22, 2025

Leslie Anne Dessources is a Speech-Language Pathologist, based in Caldwell, NJ. Leslie Anne Dessources practices in Caldwell, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Leslie Anne Dessources is 1700469996 and holds a License No. 41YS01062800 (NJ). The current practice location address for Leslie Anne Dessources is 307 Bloomfield Ave, Caldwell, NJ 07006-5164 and can be reached out via phone at 862-621-9390.

Provider Profile Details

NPI Number
1700469996
Provider Name
Leslie Anne Dessources
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
307 Bloomfield Ave, Caldwell, NJ 07006-5164
Phone Number
862-621-9390
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
May 4, 2021
Last Update Date
January 22, 2025
Certification Date
January 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
307 Bloomfield Ave
Caldwell, NJ 07006-5164
Zip
07006-5164
Phone Number
862-621-9390
Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
320 Claremont Ave
Montclair, NJ 07042-2223
City
Montclair
State
NJ
Zip
07042-2223
Phone Number
845-269-0646

License Information

License Number
41YS01062800
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Speech-Language Pathologist, providers near Caldwell, NJ

View all Speech-Language Pathologist, providers in Caldwell →

Frequently Asked Questions

What is the NPI number of Miss Leslie A Dessources, MS, CCC-SLP?

The NPI number of Miss Leslie A Dessources, MS, CCC-SLP is 1700469996. It was assigned on May 4, 2021 and is currently active in the NPPES registry.

What is the specialty of Miss Leslie A Dessources, MS, CCC-SLP?

Miss Leslie A Dessources, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01062800.

Where does Miss Leslie A Dessources, MS, CCC-SLP practice?

The practice location is 307 Bloomfield Ave, Caldwell, NJ 07006-5164. The office can be reached at 862-621-9390 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700469996 directly on the NPPES registry website.

Browse related providers