Provider Demographics
NPI:1689990640
Name:JEANNE PARR LEMKAU, PH.D., LLC
Entity Type:Organization
Organization Name:JEANNE PARR LEMKAU, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:PARR
Authorized Official - Last Name:LEMKAU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:937-767-7836
Mailing Address - Street 1:320 ORTON RD
Mailing Address - Street 2:
Mailing Address - City:YELLOW SPRINGS
Mailing Address - State:OH
Mailing Address - Zip Code:45387-1321
Mailing Address - Country:US
Mailing Address - Phone:937-767-7836
Mailing Address - Fax:
Practice Address - Street 1:320 ORTON RD
Practice Address - Street 2:
Practice Address - City:YELLOW SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:45387-1321
Practice Address - Country:US
Practice Address - Phone:937-767-7836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2969103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty