Provider Demographics
NPI:1114342649
Name:LEWIS, DELL-ANN M (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DELL-ANN
Middle Name:M
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35236 RIEGELSBERGER RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-2313
Mailing Address - Country:US
Mailing Address - Phone:440-268-5901
Mailing Address - Fax:
Practice Address - Street 1:9306 PRIEM RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-2026
Practice Address - Country:US
Practice Address - Phone:440-268-5901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-4792235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist