Doctor Name: | MRS. PAMELA LYNN LENZ |
NPI Number: | 1750434064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 7826 |
Business Practice Address: | 6776 Lake Dr. #220 Lino Lakes, MN - 55014 |
Business Phone Number: | 6517847007 |
Business Fax Number: | 6517847992 |
Mailing Address: | 6776 Lake Dr., #220 LINO LAKES |
State: | MN |
Postal Code: | 55014 |
Phone Number: | 6517847007 |
Fax Number: | 6517847992 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 09/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7826 |
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 |