Doctor Name: | MS. KATHERINE V LEWIS |
NPI Number: | 1134422801 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | |
Business Practice Address: | 17 School Street Peru Elementary School Peru, NY - 12972 |
Business Phone Number: | 5186436000 |
Business Fax Number: | 5186432043 |
Mailing Address: | 1717 Front Street, Children's Development Group KEESEVILLE |
State: | NY |
Postal Code: | 12929 |
Phone Number: | 5188347071 |
Fax Number: | 5188820282 |
NPI Enumeration Date: | 12/17/2010 |
NPI Last Update Date: | 10/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
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 |