Healthcare Provider Details

I. General information

NPI: 1992336028
Provider Name (Legal Business Name): KACEY LU SNEED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KE-HSIN SNEED

II. Dates (important events)

Enumeration Date: 01/28/2020
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 LONG BEACH BLVD STE 700
LONG BEACH CA
90807-2000
US

IV. Provider business mailing address

744 ESTES PARK DR
SAINT PETERS MO
63376-2089
US

V. Phone/Fax

Practice location:
  • Phone: 818-894-2273
  • Fax: 818-357-2505
Mailing address:
  • Phone: 702-683-8885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2021043518
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number31453
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number15225
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number035545
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: