Most Relevant Information
Provider Data
| NPI Number: | 1003325663 |
| Provider Name: | LESLIE MANNION MS, CCC/SLP-L |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 146-004963 |
Most Important Dates
| Enumeration Date: | 09/27/2017 |
| Last Updated: | 09/27/2017 |
Provider Practice Location
3630 W 92ND ST
EVERGREEN PARK
IL
608051401
Practice Location Phone/Fax
| Phone: | 7084259473 |
| Fax: |
Provider Mailing Location
3630 W 92ND ST
EVERGREEN PARK
IL
608051401
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |