Provider Demographics
NPI:1356895726
Name:LEHENY, CHRISTINE (MS)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:LEHENY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16100 SIMMONS ST
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-4094
Mailing Address - Country:US
Mailing Address - Phone:330-303-9892
Mailing Address - Fax:
Practice Address - Street 1:8143 STATE ROUTE 9
Practice Address - Street 2:
Practice Address - City:HANOVERTON
Practice Address - State:OH
Practice Address - Zip Code:44423-8618
Practice Address - Country:US
Practice Address - Phone:330-223-8001
Practice Address - Fax:330-223-1216
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.8612235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist