Provider Demographics
NPI:1235446402
Name:KLIPPEL, LEE SCOTT (CCC/SLP)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:SCOTT
Last Name:KLIPPEL
Suffix:
Gender:M
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18012 SAGO PALM DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PENITAS
Mailing Address - State:TX
Mailing Address - Zip Code:78576-7391
Mailing Address - Country:US
Mailing Address - Phone:956-580-8257
Mailing Address - Fax:956-580-8291
Practice Address - Street 1:18012 SAGO PALM DR
Practice Address - Street 2:SUITE 2
Practice Address - City:PENITAS
Practice Address - State:TX
Practice Address - Zip Code:78576-7391
Practice Address - Country:US
Practice Address - Phone:956-580-8257
Practice Address - Fax:956-580-8291
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16733235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist