1477420891 NPI number — MISS SYDNEY VIRGINIA LEYDEN MS CF SLP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477420891 NPI number — MISS SYDNEY VIRGINIA LEYDEN MS CF SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEYDEN
Provider First Name:
SYDNEY
Provider Middle Name:
VIRGINIA
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
MS CF SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477420891
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 IRON HORSE DR UNIT B111
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEDFORD
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03110-6881
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-854-3511
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18 TREMONT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILTON
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03086-5504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-732-9229
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/21/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  P-1052 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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