Individual
JENNIFER MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2000 VILLA RD, SPRINGFIELD, OH 45503-1761
(937) 399-7195
Mailing address
9574 S PALMER RD, HUBER HEIGHTS, OH 45424-1626
(740) 630-8788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8622
OH
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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