Provider Demographics
NPI:1932230646
Name:LEUER, TONI LYNNETTE (EARLY INTERVENTION)
Entity Type:Individual
Prefix:MS
First Name:TONI
Middle Name:LYNNETTE
Last Name:LEUER
Suffix:
Gender:F
Credentials:EARLY INTERVENTION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CHURCHILL DOWNS DR
Mailing Address - Street 2:
Mailing Address - City:BUSH
Mailing Address - State:LA
Mailing Address - Zip Code:70431-4605
Mailing Address - Country:US
Mailing Address - Phone:985-898-3635
Mailing Address - Fax:985-898-3635
Practice Address - Street 1:105 CHURCHILL DOWNS DR
Practice Address - Street 2:
Practice Address - City:BUSH
Practice Address - State:LA
Practice Address - Zip Code:70431-4605
Practice Address - Country:US
Practice Address - Phone:985-898-3635
Practice Address - Fax:985-898-3635
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor