Provider Demographics
NPI:1912351115
Name:LEUNG MOOK SENG, SANDRA (MS CCCSLP)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:LEUNG MOOK SENG
Suffix:
Gender:
Credentials:MS CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2026 AVONDOWN RD
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-0926
Mailing Address - Country:US
Mailing Address - Phone:972-302-1642
Mailing Address - Fax:
Practice Address - Street 1:2026 AVONDOWN RD
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-0926
Practice Address - Country:US
Practice Address - Phone:972-302-1642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-14
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108807235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist