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Individual
KATHLEEN LEWIS
Active
Individual
KATHLEEN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004452
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00004452
—
NY
01
—
000471253001
BSNENY
—
01
—
10026779
CDPHP
—
01
—
29182
GHIHMO
—
01
—
M06701
EMPIRE BLUE CROSS
—
Enumeration date
09/20/2006
Last updated
07/08/2007
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