Provider Demographics
NPI:1912891086
Name:LONGNECKER, LEAH MICHELLE (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:MICHELLE
Last Name:LONGNECKER
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4309 WILD HORSE DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-8289
Mailing Address - Country:US
Mailing Address - Phone:319-939-8619
Mailing Address - Fax:
Practice Address - Street 1:1410 W DUNKERTON RD
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703-9648
Practice Address - Country:US
Practice Address - Phone:319-291-2509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA132518235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist