Provider Demographics
NPI:1073746426
Name:ANESHANSLEY, LEIGH KASHEA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:KASHEA
Last Name:ANESHANSLEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 S MUSTANG RD
Mailing Address - Street 2:APT. 2712
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-0306
Mailing Address - Country:US
Mailing Address - Phone:580-309-0394
Mailing Address - Fax:
Practice Address - Street 1:2000 S MUSTANG RD
Practice Address - Street 2:APT. 2712
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-0306
Practice Address - Country:US
Practice Address - Phone:580-309-0394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3534235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist