Leslie Dianna Carreon, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Wichita, KS
NPI 1194233452 · NPPES record last updated Mar 5, 2022
Key facts
- NPI
- 1194233452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5002 (KS)
- Practice address
- 1999 N Amidon Ave Ste 110
Wichita, KS 67203-2122 - Phone
- (316) 768-6718
- Fax
- (316) 252-1255
- NPI assigned
- Jan 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5002 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bilingual Speech Therapy of Kansas LLC | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | ||
| Speech-Language Pathologist | 235Z00000X | 5002 | KS | Yes |
Addresses
Primary practice location
1999 N Amidon Ave Ste 110
Wichita, KS 67203-2122
Mailing address
3650 N Woodlawn Blvd Apt 237
Wichita, KS 67220-2209
Phone (619) 600-9532
Other providers in Wichita, KS
- Carrie Carr
- Debra D Carr
- Michelle Carr
- Susan L Carr
- Tammy Lee Carr
- Carrie Couture Lscsw LLC
- Stephanie June Carrigan
- Lauren Carrillo
- Carrington House L.L.C.
- Diana L Carro
All providers in Wichita, KS · Speech-Language Pathologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.