Provider Demographics
NPI:1417102401
Name:LEHMPHUL, JEANNE ANN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:ANN
Last Name:LEHMPHUL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HIDDEN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-8955
Mailing Address - Country:US
Mailing Address - Phone:845-566-1839
Mailing Address - Fax:
Practice Address - Street 1:30 HIDDEN VIEW DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-8955
Practice Address - Country:US
Practice Address - Phone:845-566-1839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007391-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency