Provider Demographics
NPI:1891947941
Name:LEWIS, JUNE GARTNER
Entity Type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:GARTNER
Last Name:LEWIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ROBINHOOD RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2908
Mailing Address - Country:US
Mailing Address - Phone:914-682-4975
Mailing Address - Fax:914-922-7962
Practice Address - Street 1:100 ROBINHOOD RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2908
Practice Address - Country:US
Practice Address - Phone:914-682-4975
Practice Address - Fax:914-922-7962
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001999-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist