Provider Demographics
NPI:1437281904
Name:HANDRICH, LEE GREGORY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:GREGORY
Last Name:HANDRICH
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:LEE
Other - Middle Name:KATHERINE
Other - Last Name:GREGORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:3916 HELENS POUROFF AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89085-4475
Mailing Address - Country:US
Mailing Address - Phone:702-898-5297
Mailing Address - Fax:
Practice Address - Street 1:501 S RANCHO DR
Practice Address - Street 2:SUITE D-25
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4828
Practice Address - Country:US
Practice Address - Phone:702-898-5297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist