Provider Demographics
NPI:1104258490
Name:LENZIE, DORECIE R (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:DORECIE
Middle Name:R
Last Name:LENZIE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9321 LABETTE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6812
Mailing Address - Country:US
Mailing Address - Phone:501-442-3614
Mailing Address - Fax:
Practice Address - Street 1:9321 LABETTE DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6812
Practice Address - Country:US
Practice Address - Phone:501-442-3614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist