| Doctor Name: | RHEANNE SARENE LEWIS |
| NPI Number: | 1457784514 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | 146011816 |
| Business Practice Address: | 4400 Minnetonka Blvd Apt 15 St Louis Park, MN - 554164084 |
| Business Phone Number: | 3093393847 |
| Business Fax Number: | 3096976863 |
| Mailing Address: | 4400 Minnetonka Blvd, Apt 15 ST LOUIS PARK |
| State: | MN |
| Postal Code: | 554164084 |
| Phone Number: | 3093393847 |
| Fax Number: | 3096976863 |
| NPI Enumeration Date: | 08/13/2013 |
| NPI Last Update Date: | 05/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 146011816 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| 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 |