Provider Demographics
NPI:1790553568
Name:NEISES, LEXIE CATHERINE
Entity Type:Individual
Prefix:
First Name:LEXIE
Middle Name:CATHERINE
Last Name:NEISES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 N YALE AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-3242
Mailing Address - Country:US
Mailing Address - Phone:859-816-4656
Mailing Address - Fax:
Practice Address - Street 1:9229 E 37TH ST N STE 201
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-2025
Practice Address - Country:US
Practice Address - Phone:316-655-3403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant