NPI 1083898431 SANJENETTA I LEWIS CCC-SLP GRAY GA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Sanjenetta I Lewis - NPI: 1083898431

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: SANJENETTA I LEWIS
NPI Number: 1083898431
Entity Type Code: Individual (1)
Gender: F
Credentials: CCC-SLP
License Number: SLP004324
Business Practice Address: 118 Buck Wallow Rd
Gray, GA - 310323657
Business Phone Number: 4789864616
Business Fax Number: 4789864616
Mailing Address: 118 Buck Wallow Rd,
GRAY
State: GA
Postal Code: 310323657
Phone Number: 4789864616
Fax Number: 4789864616
NPI Enumeration Date: 12/20/2007
NPI Last Update Date: 12/20/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: SLP004324
Healthcare Provider Taxonomy:
(Secondary)
Y
State: GA
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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