Doctor Name: | JEANETTE ANNELLE LECY |
NPI Number: | 1295057636 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-CCC/SLP |
License Number: | 7627 |
Business Practice Address: | 2120 60th Ave Ne Willmar, MN - 562019140 |
Business Phone Number: | 3202147082 |
Business Fax Number: | |
Mailing Address: | 13808 Indian Beach Rd, SPICER |
State: | MN |
Postal Code: | 562889597 |
Phone Number: | 3207964342 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2010 |
NPI Last Update Date: | 02/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |