Provider Demographics
NPI:1588051031
Name:LENSING, OLIVIA MORGAN (MS)
Entity type:Individual
Prefix:MISS
First Name:OLIVIA
Middle Name:MORGAN
Last Name:LENSING
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10808 SAINT ANTHONY CT
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72908-0789
Mailing Address - Country:US
Mailing Address - Phone:479-651-6999
Mailing Address - Fax:
Practice Address - Street 1:10808 SAINT ANTHONY CT
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72908-0789
Practice Address - Country:US
Practice Address - Phone:479-651-6999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist