Provider Demographics
NPI:1336425677
Name:LEHMAN, TERA RENEA
Entity Type:Individual
Prefix:MRS
First Name:TERA
Middle Name:RENEA
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TERA
Other - Middle Name:RENEA
Other - Last Name:BISHOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2771 GREENE 731 RD
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-8680
Mailing Address - Country:US
Mailing Address - Phone:870-284-0381
Mailing Address - Fax:
Practice Address - Street 1:1630 HIGHWAY 91 W
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-9284
Practice Address - Country:US
Practice Address - Phone:870-935-7501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist