Doctor Name: | MR. WILLIAM JOSEPH LEWIS |
NPI Number: | 1851689228 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., CCC-SLP |
License Number: | SP9909 |
Business Practice Address: | 405 Rio Vista Ln Rising Sun, IN - 470409497 |
Business Phone Number: | 8124382219 |
Business Fax Number: | |
Mailing Address: | 2842 Donjoy Dr, HEBRON |
State: | KY |
Postal Code: | 410488111 |
Phone Number: | 8593943877 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2011 |
NPI Last Update Date: | 07/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP9909 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |