Doctor Name: | JENNIFER LEWIS |
NPI Number: | 1598896607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP1495 |
Business Practice Address: | 110 S Cherry St Harrison, AR - 726015024 |
Business Phone Number: | 8707417600 |
Business Fax Number: | |
Mailing Address: | 808 Smith Dr, HARRISON |
State: | AR |
Postal Code: | 726012437 |
Phone Number: | 8707410520 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1495 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |