Provider Demographics
NPI:1396590964
Name:LEWIS, CHERYL RINGUETTE (MCD CCC SLP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:RINGUETTE
Last Name:LEWIS
Suffix:
Gender:U
Credentials:MCD CCC SLP
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:RINGUETTE
Other - Last Name:CIAMARRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1250 JEFF GERMANY PKWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35214-4484
Mailing Address - Country:US
Mailing Address - Phone:205-796-0214
Mailing Address - Fax:
Practice Address - Street 1:1250 JEFF GERMANY PKWY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35214-4484
Practice Address - Country:US
Practice Address - Phone:205-796-0214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0713235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist