Individual
JENNIFER CARTER LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
1915 INDIAN SPRINGS RD, MOUNT OLIVE, NC 28365-8775
(919) 658-9571
(919) 658-9571
Mailing address
1915 INDIAN SPRINGS RD, MOUNT OLIVE, NC 28365-8775
(919) 658-9571
(919) 658-9571
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7411666
—
NC
Enumeration date
12/08/2006
Last updated
07/09/2007
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