Provider Demographics
NPI:1164912804
Name:MCMAHAN, LENEA (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LENEA
Middle Name:
Last Name:MCMAHAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-1668
Mailing Address - Country:US
Mailing Address - Phone:619-519-4037
Mailing Address - Fax:
Practice Address - Street 1:1300 E NEW CIRCLE RD STE 180
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-4259
Practice Address - Country:US
Practice Address - Phone:859-252-4206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY242048235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist