Provider Demographics
NPI:1538288121
Name:LEMMOND, TINA M (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:TINA
Middle Name:M
Last Name:LEMMOND
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:255 W FLORIDA STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448
Mailing Address - Country:US
Mailing Address - Phone:985-626-8403
Mailing Address - Fax:985-727-9871
Practice Address - Street 1:255 W FLORIDA STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448
Practice Address - Country:US
Practice Address - Phone:985-626-8403
Practice Address - Fax:985-727-9871
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12026788235Z00000X
LA4659235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist