IndividualActive
Lynette Jensen, CCC-SLP
NPI 1710490859 · Speech-Language Pathologist · Villa Rica, GA
Provider details
- NPI number
- 1710490859
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SLP009601 (GA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
112 Three West Pkwy
Villa Rica, GA 30180-4778
Phone: (770) 468-9533
Fax: (770) 462-1260
Street-level locationGet directions
Mailing address
112 Three West Pkwy
Villa Rica, GA 30180-4778
Registry dates
- Enumerated
- 2017-11-11
- Last updated
- 2024-07-24
- Certified
- 2024-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.