Individual
ABBY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2440 LAKE VISTA CT APT 308, CASSELBERRY, FL 32707
(850) 556-3807
Mailing address
2440 LAKE VISTA CT APT 308, CASSELBERRY, FL 32707-6469
(850) 556-3807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
SZ8587
FL
Other
Enumeration date
02/27/2015
Last updated
07/02/2018
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