Provider Demographics
NPI:1235736117
Name:TSANG, JESSIE THANH LE
Entity type:Individual
Prefix:
First Name:JESSIE
Middle Name:THANH LE
Last Name:TSANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JESSIE
Other - Middle Name:THANH
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1420 PADRE BAY DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-1823
Mailing Address - Country:US
Mailing Address - Phone:503-602-6898
Mailing Address - Fax:
Practice Address - Street 1:1481 W WARM SPRINGS RD STE 138
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-7641
Practice Address - Country:US
Practice Address - Phone:702-800-3391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-4243235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist