Provider Demographics
NPI:1053826628
Name:SCHLEIF, ESHAN CHARA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ESHAN
Middle Name:CHARA
Last Name:SCHLEIF
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:ESHAN
Other - Middle Name:
Other - Last Name:PUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CF-SLP
Mailing Address - Street 1:PO BOX 751069
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 MOYE BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4300
Practice Address - Country:US
Practice Address - Phone:252-744-6104
Practice Address - Fax:252-744-6148
Is Sole Proprietor?:No
Enumeration Date:2017-12-05
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13188235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1053826628Medicaid
NC201MFOtherBCBS OF NC
NCNN6985AOtherMEDICARE