Individual
MECCA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5 ROOSEVELT PL APT M3, MONTCLAIR, NJ 07042-3348
(973) 953-9314
Mailing address
5 ROOSEVELT PL APT M3, MONTCLAIR, NJ 07042-3348
(973) 953-9314
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00769200
NJ
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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