Provider Demographics
NPI:1649423492
Name:LUCIA, LEANNE ELIZABETH (MA, CCC-SLP, TSHH)
Entity Type:Individual
Prefix:MISS
First Name:LEANNE
Middle Name:ELIZABETH
Last Name:LUCIA
Suffix:
Gender:F
Credentials:MA, CCC-SLP, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1016
Mailing Address - Country:US
Mailing Address - Phone:914-980-5462
Mailing Address - Fax:
Practice Address - Street 1:45 PARK AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-3401
Practice Address - Country:US
Practice Address - Phone:914-376-4300
Practice Address - Fax:914-965-7059
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
NY013233-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist