Provider Demographics
NPI:1063643153
Name:LEHN, ANN M (SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:M
Last Name:LEHN
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2299 S ROCKING HORSE LN
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-7213
Mailing Address - Country:US
Mailing Address - Phone:928-779-4401
Mailing Address - Fax:
Practice Address - Street 1:2299 S ROCKING HORSE LN
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-7213
Practice Address - Country:US
Practice Address - Phone:928-779-4401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0338235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist