Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Leisegang

Individual provider Speech-Language Pathologist · NPI 1912288101

Tara Leisegang is a Speech-Language Pathologist in Victor, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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Practice location Address checks out

590 Fishers Station Dr Ste 130
Victor, NY 14564-9744
Phone: (585) 924-7207
Fax: (585) 924-7049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 021032-1 (NY)

Record details

NPI number1912288101
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 1, 2011
Last updated in NPPESNovember 19, 2012

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