Provider Demographics
NPI:1407143522
Name:HABENICHT, LESLIE ANN (CD(DONA), LLSS)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:ANN
Last Name:HABENICHT
Suffix:
Gender:F
Credentials:CD(DONA), LLSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10105 CLEARMEADOW DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-1519
Mailing Address - Country:US
Mailing Address - Phone:214-343-0822
Mailing Address - Fax:
Practice Address - Street 1:10105 CLEARMEADOW DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-1519
Practice Address - Country:US
Practice Address - Phone:214-343-0822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-10
Last Update Date:2011-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula