Provider Demographics
NPI:1790018307
Name:PARKER, LEANNE MOORE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LEANNE
Middle Name:MOORE
Last Name:PARKER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4406 ASPENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-7606
Mailing Address - Country:US
Mailing Address - Phone:281-633-9587
Mailing Address - Fax:281-342-2588
Practice Address - Street 1:4406 ASPENWOOD DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-7606
Practice Address - Country:US
Practice Address - Phone:281-633-9587
Practice Address - Fax:281-342-2588
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10535235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist