Leah Skow, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Van, TX

NPI 1164601902 · NPPES record last updated Oct 21, 2022

Key facts

NPI
1164601902
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
19959 (TX)
Practice address
549 East Texas St
Van, TX 75790-7579
Phone
(903) 963-8710
Fax
(817) 562-3114
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
19959TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapedia, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 19959 TX Yes

Addresses

Primary practice location

549 East Texas St
Van, TX 75790-7579

Mailing address

549 East Texas St
Van, TX 75790-3614
Phone (903) 963-8710

Other providers in Van, TX

All providers in Van, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.