Provider Demographics
NPI:1497310999
Name:SIMNITT, LEAH
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:SIMNITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6805 LEBANON RD APT 1427
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6795
Mailing Address - Country:US
Mailing Address - Phone:713-213-3568
Mailing Address - Fax:
Practice Address - Street 1:6805 LEBANON RD APT 1427
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6795
Practice Address - Country:US
Practice Address - Phone:713-213-3568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114605235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist