Provider Demographics
NPI:1114040375
Name:LEMMER, PATRICIA RETTERER (MA-CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:RETTERER
Last Name:LEMMER
Suffix:
Gender:F
Credentials:MA-CCC-SLP
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:RETTERER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA-CCC-SLP
Mailing Address - Street 1:15708 PUTMAN RD
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-7876
Mailing Address - Country:US
Mailing Address - Phone:479-925-7783
Mailing Address - Fax:
Practice Address - Street 1:133 SCHOOL DRIVE
Practice Address - Street 2:HUNTSVILLE MIDDLE SCHOOL
Practice Address - City:HUNTSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72740
Practice Address - Country:US
Practice Address - Phone:479-925-7783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1313235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist