Provider Demographics
NPI:1962174672
Name:SCHULTE, LEANNA CATHERINE (CFY-SLP)
Entity type:Individual
Prefix:
First Name:LEANNA
Middle Name:CATHERINE
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9012 STAGE COACH RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-8662
Mailing Address - Country:US
Mailing Address - Phone:573-694-2567
Mailing Address - Fax:
Practice Address - Street 1:315 E DUNKLIN ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-3128
Practice Address - Country:US
Practice Address - Phone:573-659-3013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist