Provider Demographics
NPI:1447694237
Name:LENHARD, JILLIAN A (MSED CCC-SLP/L)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:A
Last Name:LENHARD
Suffix:
Gender:F
Credentials:MSED CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 BELLINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7010
Mailing Address - Country:US
Mailing Address - Phone:716-908-6906
Mailing Address - Fax:
Practice Address - Street 1:5820 MAIN ST STE 303
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5734
Practice Address - Country:US
Practice Address - Phone:716-650-0636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-23
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022762-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist