Provider Demographics
NPI:1851831580
Name:SAAVEDRA, LESLIE JOYCE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:JOYCE
Last Name:SAAVEDRA
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 1:5584 GARDEN VIEW CT
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-9677
Mailing Address - Country:US
Mailing Address - Phone:956-551-1358
Mailing Address - Fax:
Practice Address - Street 1:5584 GARDEN VIEW CT
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-9677
Practice Address - Country:US
Practice Address - Phone:956-551-1358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107204235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist