Provider Demographics
NPI:1164818282
Name:SAENZ, LEANNA (MS,CCC/SLP)
Entity Type:Individual
Prefix:
First Name:LEANNA
Middle Name:
Last Name:SAENZ
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 1:2713 BLACKSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3125
Mailing Address - Country:US
Mailing Address - Phone:361-701-8926
Mailing Address - Fax:
Practice Address - Street 1:2713 BLACKSTONE CIR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-3125
Practice Address - Country:US
Practice Address - Phone:361-701-8926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-15
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110168235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist