| Doctor Name: | MR. GARY ALAN LEWIS |
| NPI Number: | 1316254253 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., CCC-SLP |
| License Number: | SP17003 |
| Business Practice Address: | 3355 Mission Ave Ste 123 Oceanside, CA - 920581326 |
| Business Phone Number: | 7605294975 |
| Business Fax Number: | 7605294761 |
| Mailing Address: | 3355 Mission Ave, Ste 123 OCEANSIDE |
| State: | CA |
| Postal Code: | 920581326 |
| Phone Number: | 7605294975 |
| Fax Number: | 7605294761 |
| NPI Enumeration Date: | 09/13/2010 |
| NPI Last Update Date: | 09/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP17003 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |