=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912817065
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MANTRA SPEECH THERAPY, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/10/2026
-----------------------------------------------------
Last Update Date | 09/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 407 29TH ST APT 5
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94131-2362
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-813-9280
-----------------------------------------------------
Fax | 469-599-7227
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 407 29TH ST APT 5
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94131-2362
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LEANNE CHEMPLANIKAL
-----------------------------------------------------
Credential | CCC-SLP
-----------------------------------------------------
Telephone | 972-813-9280
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------