Individual
LIBBY MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
11623 ARBOR STREET, OMAHA, NE 68144
(402) 590-5831
Mailing address
PO BOX 828, SYRACUSE, KS 67878-0828
(620) 384-4637
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3219
KS
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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