Doctor Name: | MRS. CHRYSTAL DAWN LEWIS |
NPI Number: | 1508933417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | SLPL4435 |
Business Practice Address: | 2200 Havasupai Blvd Lake Havasu City, AZ - 864033798 |
Business Phone Number: | 9285056911 |
Business Fax Number: | 9285056991 |
Mailing Address: | 2200 Havasupai Blvd, LAKE HAVASU CITY |
State: | AZ |
Postal Code: | 864033798 |
Phone Number: | 9285056911 |
Fax Number: | 9285056991 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLPL4435 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |