Basic Information
Provider Information
NPI: 1316243108
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUEMPEL
FirstName: LEAH
MiddleName: ANN
NamePrefix: DR.
NameSuffix:  
Credential: AU.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3202 W ANDERSON LN
Address2: STE 208
City: AUSTIN
State: TX
PostalCode: 787571035
CountryCode: US
TelephoneNumber: 5122602665
FaxNumber: 5122602668
Practice Location
Address1: 3202 W ANDERSON LN
Address2: STE 208
City: AUSTIN
State: TX
PostalCode: 787571035
CountryCode: US
TelephoneNumber: 5122602665
FaxNumber: 5122602668
Other Information
ProviderEnumerationDate: 01/27/2011
LastUpdateDate: 01/27/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X80310TXY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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