Provider Demographics
NPI:1497482095
Name:TRAN, REBECCA LEBLANC (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:LEBLANC
Last Name:TRAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 CRENSHAW ST
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:LA
Mailing Address - Zip Code:70342-2070
Mailing Address - Country:US
Mailing Address - Phone:985-518-9114
Mailing Address - Fax:
Practice Address - Street 1:516 CRENSHAW ST
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:LA
Practice Address - Zip Code:70342-2070
Practice Address - Country:US
Practice Address - Phone:985-518-9114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6939235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist