Provider Demographics
NPI:1366588469
Name:RHOADS-LESLIE, JANET LEE (SLP)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:LEE
Last Name:RHOADS-LESLIE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BOSTON IVY CT
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34446-6030
Mailing Address - Country:US
Mailing Address - Phone:631-375-4762
Mailing Address - Fax:
Practice Address - Street 1:27 BOSTON IVY CT
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34446-6030
Practice Address - Country:US
Practice Address - Phone:631-375-4762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1526235Z00000X
FLSA9663235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist