Provider Demographics
NPI:1023222874
Name:LEWIS, SARAH PAULK (SPEECH-LANGUAGE PATH)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:PAULK
Last Name:LEWIS
Suffix:
Gender:F
Credentials:SPEECH-LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 WESTRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-2483
Mailing Address - Country:US
Mailing Address - Phone:859-948-7175
Mailing Address - Fax:859-687-9824
Practice Address - Street 1:115 WESTRIDGE LN
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-2483
Practice Address - Country:US
Practice Address - Phone:859-948-7175
Practice Address - Fax:859-687-9824
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-3084235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY01905OtherFIRST STEPS,PROVIDER, SLP