Provider Demographics
NPI:1942435714
Name:GENUSA CALMES, LEAH M (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:M
Last Name:GENUSA CALMES
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:M
Other - Last Name:GENUSA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:14328 BYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70819-2003
Mailing Address - Country:US
Mailing Address - Phone:225-324-8201
Mailing Address - Fax:225-274-3892
Practice Address - Street 1:14328 BYWOOD AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70819-2003
Practice Address - Country:US
Practice Address - Phone:225-324-8201
Practice Address - Fax:225-274-3892
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-22
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4501235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist