Doctor Name: | ANN MARIE LEWIS |
NPI Number: | 1568600831 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A./CCC-SLP |
License Number: | 22004275A |
Business Practice Address: | 7393 Business Center Dr Suite 500 Avon, IN - 461239269 |
Business Phone Number: | 3172720480 |
Business Fax Number: | |
Mailing Address: | 36 Victory Hl, COATESVILLE |
State: | IN |
Postal Code: | 461218961 |
Phone Number: | 7657191544 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2009 |
NPI Last Update Date: | 01/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22004275A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |