Individual
JESSICA NICHOLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
721 OLD WINBERRY RD, NEWPORT, NC 28570-6151
(252) 241-9006
Mailing address
721 OLD WINBERRY RD, NEWPORT, NC 28570-6151
(252) 241-9006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8877
NC
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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