| Organization Name: | JEANNE PARR LEMKAU, PH.D., LLC |
| NPI Number: | 1689990640 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEANNE PARR LEMKAU (SOLE PROPRIETOR) |
| Mailing Address: | 320 Orton Rd Yellow Springs |
| State: | OH US |
| Postal Code: | 453871321 |
| Phone Number: | 9377677836 |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2010 |
| NPI Last Update Date: | 04/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2969 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |