Provider Demographics
NPI:1558484949
Name:LEHMAN, JAY W (MA CCCA)
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:W
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:MA CCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6609 BLANCO ROAD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6131
Mailing Address - Country:US
Mailing Address - Phone:210-342-2299
Mailing Address - Fax:210-342-5499
Practice Address - Street 1:6609 BLANCO ROAD
Practice Address - Street 2:SUITE 115
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6131
Practice Address - Country:US
Practice Address - Phone:210-342-2299
Practice Address - Fax:210-342-5499
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50938237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX022408101Medicaid
TX517798OtherBCBS TX