Individual
AMANDA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N 6TH ST, SAINT CHARLES, MO 63301-1838
(314) 917-4352
Mailing address
400 N 6TH ST, SAINT CHARLES, MO 63301-1838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251300000X
Local Education Agency (LEA)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
03/01/2007
Last updated
08/26/2025
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