Basic Information
| Provider Information | |||||||||
| NPI: | 1235183153 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | LEIGH-PAFFENROTH | ||||||||
| FirstName: | ELIZABETH | ||||||||
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| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 664 TELFORD NEW VICTORY RD | ||||||||
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| City: | TELFORD | ||||||||
| State: | TN | ||||||||
| PostalCode: | 376902814 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | JAMES H QUILLEN | ||||||||
| Address2: | VAMC AUDIOLOGY 126 | ||||||||
| City: | MOUNTAIN HOME | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37684 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4239261171 | ||||||||
| FaxNumber: | 4239793403 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 2006098 | OH | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.