Provider Demographics
NPI:1043465768
Name:ESCOBAR, LEANNA RAE (AUD)
Entity type:Individual
Prefix:DR
First Name:LEANNA
Middle Name:RAE
Last Name:ESCOBAR
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LEANNA
Other - Middle Name:RAE
Other - Last Name:ESCBOAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:5540 OAKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64130-3240
Mailing Address - Country:US
Mailing Address - Phone:816-695-0169
Mailing Address - Fax:
Practice Address - Street 1:1497 E 151ST ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-2854
Practice Address - Country:US
Practice Address - Phone:913-538-5030
Practice Address - Fax:913-324-1533
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013040406231H00000X
KS2264231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist