CHANNA LEIBOWITZ — Medicare Enrolled Provider (PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST, CT)
CHANNA LEIBOWITZ — Medicare Enrolled Provider (PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST, CT) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: CHANNA LEIBOWITZ; Type: Individual; NPI: 1003150566.
| Name | CHANNA LEIBOWITZ |
|---|---|
| Type | Individual |
| NPI | 1003150566 |
| Provider type | PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| State | CT |
| Enrollment ID | I20221206001979 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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