Provider Demographics
NPI:1417324500
Name:LEHR, DIANE
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:LEHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 CIMARRON DR
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-7307
Mailing Address - Country:US
Mailing Address - Phone:708-204-4532
Mailing Address - Fax:
Practice Address - Street 1:169 CIMARRON DR
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46385-7307
Practice Address - Country:US
Practice Address - Phone:708-214-9187
Practice Address - Fax:708-214-9187
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2170002542355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant