Provider Demographics
NPI:1982804019
Name:KUME, ANDREA LEIGH (SLP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:LEIGH
Last Name:KUME
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:LEIGH
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:485 BELLA VISTA CIR
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-8746
Mailing Address - Country:US
Mailing Address - Phone:512-757-6397
Mailing Address - Fax:
Practice Address - Street 1:485 BELLA VISTA CIR
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-8746
Practice Address - Country:US
Practice Address - Phone:512-757-6397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103468235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103468OtherTEXAS DEPARTMENT OF LICENSING & REGULATION
12101502OtherAMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION