Individual
KIRSTEN T LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
1906 FAIRVIEW AVE, SUITE 330, CALDWELL, ID 83605-5407
(208) 454-9223
Mailing address
1906 FAIRVIEW AVE, SUITE 330, CALDWELL, ID 83605-5407
(208) 454-9223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2094
ID
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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