Provider Demographics
NPI:1730203688
Name:LEMKAU, JEANNE PARR (PHD)
Entity type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:PARR
Last Name:LEMKAU
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 ORTON RD
Mailing Address - Street 2:
Mailing Address - City:YELLOW SPRINGS
Mailing Address - State:OH
Mailing Address - Zip Code:45387-1321
Mailing Address - Country:US
Mailing Address - Phone:937-767-7836
Mailing Address - Fax:
Practice Address - Street 1:320 ORTON RD
Practice Address - Street 2:
Practice Address - City:YELLOW SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:45387-1321
Practice Address - Country:US
Practice Address - Phone:937-767-7836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2969103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical