Doctor Name: | GAIL WILSON LEW |
NPI Number: | 1598963662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH LANGUAGE PATH |
License Number: | SP6438 |
Business Practice Address: | 19 Suffolk Ave Suite C Sierra Madre, CA - 910242570 |
Business Phone Number: | 6263553397 |
Business Fax Number: | |
Mailing Address: | 19 Suffolk Ave, Suite C SIERRA MADRE |
State: | CA |
Postal Code: | 910242570 |
Phone Number: | 6263553397 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP6438 |
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 |