Provider Demographics
NPI:1720770076
Name:LEMELIN, JEANANN
Entity Type:Individual
Prefix:
First Name:JEANANN
Middle Name:
Last Name:LEMELIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 SW HIGGINS AVE APT D
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-1447
Mailing Address - Country:US
Mailing Address - Phone:406-794-2493
Mailing Address - Fax:
Practice Address - Street 1:505 SW HIGGINS AVE APT D
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-1447
Practice Address - Country:US
Practice Address - Phone:406-794-2493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist