Provider Demographics
NPI:1346747417
Name:JENNY LEE LLC
Entity Type:Organization
Organization Name:JENNY LEE LLC
Other - Org Name:JENNY LEE SLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:859-545-2117
Mailing Address - Street 1:838 E HIGH ST # 155
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2107
Mailing Address - Country:US
Mailing Address - Phone:859-545-2117
Mailing Address - Fax:859-201-1251
Practice Address - Street 1:7559 THUNDER RIDGE DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-8269
Practice Address - Country:US
Practice Address - Phone:859-545-2117
Practice Address - Fax:859-201-1251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech