Provider Demographics
NPI:1083230627
Name:LEWIS, CARI L (SLPA)
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:L
Last Name:LEWIS
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 W WILLIAM CAREY ST
Mailing Address - Street 2:
Mailing Address - City:CORONA DE TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85641-2531
Mailing Address - Country:US
Mailing Address - Phone:575-313-7679
Mailing Address - Fax:
Practice Address - Street 1:273 W WILLIAM CAREY ST
Practice Address - Street 2:
Practice Address - City:CORONA DE TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85641-2531
Practice Address - Country:US
Practice Address - Phone:575-313-7679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA124172355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant