Provider Demographics
NPI:1205023215
Name:LEWIS, CHRISTINE R (AUD)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:R
Last Name:LEWIS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 HOPYARD RD STE 270
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-2958
Mailing Address - Country:US
Mailing Address - Phone:925-847-5220
Mailing Address - Fax:925-847-5475
Practice Address - Street 1:3825 HOPYARD RD STE 270
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-2958
Practice Address - Country:US
Practice Address - Phone:925-847-5220
Practice Address - Fax:925-847-5475
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 2541231H00000X
NY002292231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist