Provider Demographics
NPI:1801176243
Name:WALSH, LEAH CINALLI (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:CINALLI
Last Name:WALSH
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:CINALLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18520 BURNING EMBER PASS
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2594
Mailing Address - Country:US
Mailing Address - Phone:512-439-9070
Mailing Address - Fax:
Practice Address - Street 1:1425 W HIGHWAY 290
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-3402
Practice Address - Country:US
Practice Address - Phone:512-439-9070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107633235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist