Individual
ANGELA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5278 W 10740 N, HIGHLAND, UT 84003-8899
(801) 889-7751
(801) 855-6351
Mailing address
5278 W 10740 N, HIGHLAND, UT 84003-8899
(801) 889-7751
(801) 855-6351
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
52061504102
UT
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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