Brenda Jean Lewis M.A.CCC-SLP

NPI 1083601512 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1083601512
Gender Female
Enumeration Date 09/30/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
116 N MAIN ST
SHAWANO WI, 54166-2356, US
Phone (715) 526-7370
Fax (715) 526-7294
Business Location
116 N MAIN ST
SHAWANO WI, 54166-2356, US
Phone (715) 526-7370
Fax (715) 526-7294
Toxanomy
Taxonomy Code 235Z00000X
License State Wisconsin
License Number 488-154
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According to our database, Brenda Jean Lewis M.A.CCC-SLP NPI is 1083601512, taxonomy code is 235Z00000X and license number is 488-154, license state is located at Wisconsin. Brenda Jean Lewis M.A.CCC-SLP physically located at 116 N Main St, Shawano WI, 54166-2356. NPI Number Brenda Jean Lewis M.A.CCC-SLP has the Individual type.

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1083601512 NPI number is provided on an as is basis without warranty of any kind. 1083601512 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda Jean Lewis M.A.CCC-SLP are for informational purposes only.