Provider Demographics
NPI:1518186477
Name:GUERRERO, LESLIE BINGHAM (SLP)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:BINGHAM
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 CANARY AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2747
Mailing Address - Country:US
Mailing Address - Phone:956-821-1617
Mailing Address - Fax:
Practice Address - Street 1:903 N FLAG ST
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-2912
Practice Address - Country:US
Practice Address - Phone:956-354-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17537235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T3024OtherBCBS