Provider Demographics
NPI:1245020411
Name:LEWIS, SHAMAREE TAYLOR (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SHAMAREE
Middle Name:TAYLOR
Last Name:LEWIS
Suffix:
Gender:
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 1:2020 W 154TH ST
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90249-4223
Mailing Address - Country:US
Mailing Address - Phone:310-617-9274
Mailing Address - Fax:
Practice Address - Street 1:GLOBAL SPEECH SERVICES
Practice Address - Street 2:2101 EXECUTIVE DR #200
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666
Practice Address - Country:US
Practice Address - Phone:757-869-7559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37417235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist