Individual
SHANNON M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 BURBANK ST, BROOMFIELD, CO 80020-1649
(303) 358-9341
Mailing address
1661 YATES ST, DENVER, CO 80204-1070
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP.00001328
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSLP.0001328
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
07/16/2024
Last updated
07/16/2024
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