Provider Demographics
NPI:1932689072
Name:BARNES, LESLEY SOMMERS (MS, CCC, SLP)
Entity Type:Individual
Prefix:
First Name:LESLEY
Middle Name:SOMMERS
Last Name:BARNES
Suffix:
Gender:F
Credentials:MS, CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 HARMONY HLS
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-2107
Mailing Address - Country:US
Mailing Address - Phone:830-438-1276
Mailing Address - Fax:
Practice Address - Street 1:384 HARMONY HLS
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-2107
Practice Address - Country:US
Practice Address - Phone:830-438-1276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18009235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX01114505OtherASHA