Individual
DR. JEFFREY IAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD/CCC-SLP
Contact information
Practice address
105 VISTA TER, TRYON, NC 28782-3440
(828) 859-6414
Mailing address
105 VISTA TER, TRYON, NC 28782-3440
(828) 859-6414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4067
SC
235Z00000X
Speech-Language Pathologist
Primary
6828
NC
Other
Enumeration date
10/29/2008
Last updated
02/01/2009
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