Provider Demographics
NPI:1053627836
Name:LEWIS, RACHEL AUDREY (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:AUDREY
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 KENSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1729
Mailing Address - Country:US
Mailing Address - Phone:919-213-1985
Mailing Address - Fax:
Practice Address - Street 1:114 KENSINGTON RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1729
Practice Address - Country:US
Practice Address - Phone:919-213-1985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist