Provider Demographics
NPI:1558818690
Name:LEHR, LINDSEY (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:LEHR
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ATHENS
Mailing Address - State:IL
Mailing Address - Zip Code:62264-1412
Mailing Address - Country:US
Mailing Address - Phone:618-978-0362
Mailing Address - Fax:
Practice Address - Street 1:300 S CLINTON ST
Practice Address - Street 2:
Practice Address - City:NEW ATHENS
Practice Address - State:IL
Practice Address - Zip Code:62264-1412
Practice Address - Country:US
Practice Address - Phone:618-978-0362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015019946235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist