Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lynette Jensen, MED, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1710490859

Lynette Jensen, MED, CCC-SLP is a Speech-Language Pathologist in Villa Rica, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2017
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

112 Three West Pkwy
Villa Rica, GA 30180-4778
Phone: (770) 459-6533
Fax: (770) 462-1260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP009601 (GA)

Record details

NPI number1710490859
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 11, 2017
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

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