MEDICARE: MRS. CATHY JEANENE LEHMAN M.A., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	22003375A	IN

General Provider Information

NPI Number	:	1710127725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CATHY JEANENE LEHMAN M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	6509 BAYCHESTER DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-8362
Country	:	US
Telephone Number	:	260-749-6414
Fax Number	:

Provider Business Practice Location Address
First Line	:	6509 BAYCHESTER DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-8362
Country	:	US
Telephone Number	:	260-749-6414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2009
Last Update Date	:	03/03/2009

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Directions to “ MRS. CATHY JEANENE LEHMAN M.A., CCC-SLP” Practice Location

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