Provider Demographics
NPI:1144547100
Name:SMITH, LEANN SCHOW (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LEANN
Middle Name:SCHOW
Last Name:SMITH
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MARIO CAPECCHI DR
Mailing Address - Street 2:SUITE 4400
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84113-1103
Mailing Address - Country:US
Mailing Address - Phone:801-662-4949
Mailing Address - Fax:801-662-4931
Practice Address - Street 1:100 MARIO CAPECCHI DR
Practice Address - Street 2:SUITE 4400
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84113-1103
Practice Address - Country:US
Practice Address - Phone:801-662-4949
Practice Address - Fax:801-662-4931
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDSLP-1303235Z00000X
UT310511-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist