Provider Demographics
NPI:1114743960
Name:WARD, NATALY ANGELA LEYVA
Entity type:Individual
Prefix:
First Name:NATALY
Middle Name:ANGELA LEYVA
Last Name:WARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 SE BRIAR VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64064-7994
Mailing Address - Country:US
Mailing Address - Phone:954-529-5606
Mailing Address - Fax:
Practice Address - Street 1:1052 SW LUTTRELL RD STE D
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-4985
Practice Address - Country:US
Practice Address - Phone:816-388-0955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist