Provider Demographics
NPI:1730558883
Name:SHERRED, LEANNE BRIDGETTE (MS, CCC-SLP)
Entity type:Individual
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First Name:LEANNE
Middle Name:BRIDGETTE
Last Name:SHERRED
Suffix:
Gender:F
Credentials:MS, CCC-SLP
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Other - First Name:
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Mailing Address - Street 1:440 N BARRANCA AVE # 9898
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-1722
Mailing Address - Country:US
Mailing Address - Phone:512-377-6318
Mailing Address - Fax:512-546-6034
Practice Address - Street 1:633 W 5TH ST OFC 2876B
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90071-2005
Practice Address - Country:US
Practice Address - Phone:512-377-6318
Practice Address - Fax:512-546-6034
Is Sole Proprietor?:No
Enumeration Date:2015-09-18
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist