Provider Demographics
NPI:1861839672
Name:KNAPP, LEEANN CHRISTINE (MS CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:LEEANN
Middle Name:CHRISTINE
Last Name:KNAPP
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 1:904 LEE BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-4953
Mailing Address - Country:US
Mailing Address - Phone:239-674-9374
Mailing Address - Fax:
Practice Address - Street 1:904 LEE BLVD STE 106
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-4953
Practice Address - Country:US
Practice Address - Phone:239-674-9374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA6569235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist