Individual
MR. GARY ALAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
3355 MISSION AVE, STE 123, OCEANSIDE, CA 92058-1326
(760) 529-4975
(760) 529-4761
Mailing address
3355 MISSION AVE, STE 123, OCEANSIDE, CA 92058-1326
(760) 529-4975
(760) 529-4761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP17003
CA
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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