Individual
LEANN JEANETTE LANDRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINSCID
Contact information
Practice address
2115 GRAND AVE, GRAND JUNCTION, CO 81501-8007
(970) 254-4872
Mailing address
2115 GRAND AVE, GRAND JUNCTION, CO 81501-8007
(970) 254-4872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24465244
CO
235Z00000X
Speech-Language Pathologist
SLP007832
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127569B
—
GA
Enumeration date
05/20/2010
Last updated
08/12/2024
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