Provider Demographics
NPI:1679249262
Name:HOUNSHELL, LESLIE CAROL (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:CAROL
Last Name:HOUNSHELL
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 1:704 11TH ST
Mailing Address - Street 2:
Mailing Address - City:LEVELLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79336-5400
Mailing Address - Country:US
Mailing Address - Phone:806-894-6858
Mailing Address - Fax:
Practice Address - Street 1:704 11TH ST
Practice Address - Street 2:
Practice Address - City:LEVELLAND
Practice Address - State:TX
Practice Address - Zip Code:79336-5400
Practice Address - Country:US
Practice Address - Phone:806-894-6858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18491235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist