Provider Demographics
NPI:1437907995
Name:LANNING, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:LANNING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:HINOJOSA
Other - Last Name:LANNING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:5002 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:LAGO VISTA
Mailing Address - State:TX
Mailing Address - Zip Code:78645-6080
Mailing Address - Country:US
Mailing Address - Phone:512-771-8231
Mailing Address - Fax:
Practice Address - Street 1:5002 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:LAGO VISTA
Practice Address - State:TX
Practice Address - Zip Code:78645-6080
Practice Address - Country:US
Practice Address - Phone:512-771-8231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15596235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist