Provider Demographics
NPI:1942331962
Name:LEONARDS, PENNY R (MS)
Entity Type:Individual
Prefix:MRS
First Name:PENNY
Middle Name:R
Last Name:LEONARDS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9399 F AND L LN
Mailing Address - Street 2:
Mailing Address - City:MORGANZA
Mailing Address - State:LA
Mailing Address - Zip Code:70759-3203
Mailing Address - Country:US
Mailing Address - Phone:225-694-4358
Mailing Address - Fax:225-694-2082
Practice Address - Street 1:9399 F AND L LN
Practice Address - Street 2:
Practice Address - City:MORGANZA
Practice Address - State:LA
Practice Address - Zip Code:70759-3203
Practice Address - Country:US
Practice Address - Phone:225-694-4358
Practice Address - Fax:225-694-2082
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5287235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist