Provider Demographics
NPI:1538691332
Name:TRIBON, LESLIE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:TRIBON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:
Other - Last Name:HELGESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13219 HUGH SEYMOUR LN
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-2288
Mailing Address - Country:US
Mailing Address - Phone:228-334-5035
Mailing Address - Fax:844-270-2749
Practice Address - Street 1:13219 HUGH SEYMOUR LN
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-2288
Practice Address - Country:US
Practice Address - Phone:228-334-5035
Practice Address - Fax:844-270-2749
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS-4573235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist