Provider Demographics
NPI:1386889939
Name:WRIGHT, LEANNE MARIE (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LEANNE
Middle Name:MARIE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:54 GRAND MASTERS DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-6099
Mailing Address - Country:US
Mailing Address - Phone:702-686-3008
Mailing Address - Fax:702-487-6355
Practice Address - Street 1:2560 MONTESSOURI ST
Practice Address - Street 2:SUITE 113
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3061
Practice Address - Country:US
Practice Address - Phone:702-686-3008
Practice Address - Fax:702-487-6355
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-1222235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist