| NPI | 1710206495 |
|---|---|
| Former Name | LEANN JEANETTE LANDRETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24465244) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007832) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2024-08-12 |