Individual
MR. WILLIAM J. BRYAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
6900 GEORGIA AVE NW, BUILDING 2, RM 6A19, WASHINGTON, DC 20307-0003
(843) 509-3443
Mailing address
PO BOX 59276, WASHINGTON, DC 20012-0276
(843) 509-3443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005857
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202005857
SLP LICENSURE
VA
Enumeration date
09/10/2009
Last updated
11/20/2009
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