Organization Name: | LENEAR LLC |
NPI Number: | 1417213901 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIKA VONTRECYE ROBINSON (AGENT) |
Mailing Address: | 4979 Tadmore Ln Lithonia |
State: | GA US |
Postal Code: | 300382237 |
Phone Number: | 4045510222 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2012 |
NPI Last Update Date: | 04/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |