Individual
KELLY MARIE LEHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
1800 APPLETON RD, MENASHA, WI 54952-3727
(920) 968-6359
(920) 725-2572
Mailing address
N759 RABBIT RD, FREMONT, WI 54940-9546
(920) 667-4410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1416-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1416-154
THERAPY LICENSE
WI
05
—
42788200
—
WI
Enumeration date
02/15/2007
Last updated
07/08/2007
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