Individual
ANN M LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A./CCC-SLP
Contact information
Practice address
11101 N. SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3441
(608) 884-1626
Mailing address
11101 N. SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3441
(608) 884-1626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004275A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22004275A
SPEECH PATHOLOGIST LICENSE
IN
Enumeration date
01/26/2009
Last updated
07/21/2021
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