Provider Demographics
NPI:1467210674
Name:DE LEON, DANEETH GUADALUPE (BA)
Entity Type:Individual
Prefix:
First Name:DANEETH
Middle Name:GUADALUPE
Last Name:DE LEON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:DANEETH
Other - Middle Name:GUADALUPE
Other - Last Name:DELEON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA
Mailing Address - Street 1:3333 BAYSHORE BLVD STE 340
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1960
Mailing Address - Country:US
Mailing Address - Phone:713-910-5437
Mailing Address - Fax:
Practice Address - Street 1:3333 BAYSHORE BLVD STE 340
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1960
Practice Address - Country:US
Practice Address - Phone:713-910-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX434762355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant