Katherine V Lewis, MA CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Peru, NY
NPI 1134422801 · NPPES record last updated Oct 15, 2014
Key facts
- NPI
- 1134422801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 17 School Street
Peru Elementary School
Peru, NY 12972 - Phone
- (518) 643-6000
- Fax
- (518) 643-2043
- NPI assigned
- Dec 17, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | VT | Yes |
Addresses
Primary practice location
17 School Street
Peru Elementary School
Peru, NY 12972
Mailing address
1717 Front Street
Children'S Development Group
Keeseville, NY 12929
Phone (518) 834-7071
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022563-1 | Other | NY | OFFICE OF PROFESSIONS |
Other providers in Peru, NY
- Jennifer Kanaly
- KPH Healthcare Services, Inc.
- Lakeshore Pediatric Dentistry PLLC
- Thomas Clinton Lamar
- Mary Alice Leonard
- Maribeth Mackinnon
- Lindsay C Marsha
- Joel Martineau
- Katie Mashtare
- Maureen Michele Mather
All providers in Peru, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.