Provider Demographics
NPI:1003869777
Name:DEAN, LEE SCHENDEL (MA, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:LEE
Middle Name:SCHENDEL
Last Name:DEAN
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 TWIN OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-6791
Mailing Address - Country:US
Mailing Address - Phone:407-359-6804
Mailing Address - Fax:
Practice Address - Street 1:1465 TWIN OAKS CIR
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6791
Practice Address - Country:US
Practice Address - Phone:407-359-6804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA3123235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL882359600Medicaid