Individual
JADYN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
486 E 42ND ST, LOVELAND, CO 80538-2354
(925) 303-0515
Mailing address
486 E 42ND ST, LOVELAND, CO 80538-2354
(925) 303-0515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0004054
CO
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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