Provider Demographics
NPI:1073978474
Name:MONKA, LEONORA (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LEONORA
Middle Name:
Last Name:MONKA
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7868 MILLIKEN AVE APT 548
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-8103
Mailing Address - Country:US
Mailing Address - Phone:321-438-9298
Mailing Address - Fax:
Practice Address - Street 1:7868 MILLIKEN AVE APT 548
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-8103
Practice Address - Country:US
Practice Address - Phone:321-438-9298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-29
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21628235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist