Individual
ANNE MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
91 RACQUETTE FLOW DRIVE, PIERCEFIELD, NY 12973-0128
(519) 359-3998
Mailing address
PO BOX 128, PIERCEFIELD, NY 12973-0128
(519) 359-3998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006359-1
NY
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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