Most Relevant Information
Provider Data
| NPI Number: | 1003025735 |
| Provider Name: | LESLEY LIZABETH HENRY CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 18800 |
Most Important Dates
| Enumeration Date: | 05/21/2007 |
| Last Updated: | 08/05/2022 |
Provider Practice Location
3051 IRA E WOODS AVE
GRAPEVINE
TX
760513817
Practice Location Phone/Fax
| Phone: | 8172515200 |
| Fax: |
Provider Mailing Location
3051 IRA E WOODS AVE
GRAPEVINE
TX
760513817
Provider Mailing Phone/Fax
| Phone: | 8172515200 |
| Fax: |