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NPI Code Detail

MEDICARE: STEPHANIE LEWIS MA, CCC-SLP

MEDICARE: STEPHANIE LEWIS MA, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP15533CA

General Provider Information

NPI Number : 1235621301
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LEWIS MA, CCC-SLP
Provider Business Mailing Address
First Line : 667 LIGHTHOUSE AVE STE 201
Second Line :
City : PACIFIC GROVE
State : CA
Zip : 93950-2666
Country : US
Telephone Number : 831-318-0558
Fax Number : 831-603-6061
Provider Business Practice Location Address
First Line : 667 LIGHTHOUSE AVE STE 201
Second Line :
City : PACIFIC GROVE
State : CA
Zip : 93950-2666
Country : US
Telephone Number : 831-318-0558
Fax Number : 831-603-6061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2018
Last Update Date : 04/02/2026

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Directions to “ STEPHANIE LEWIS MA, CCC-SLP” Practice Location

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