Khededra Renee Lewis, SLP Valid NPI
Individual provider · Speech-Language Pathologist · Pasadena, CA
- NPI
- 1245896455
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- 25904 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-05-13
- Last updated
- 2019-05-13
Practice location
1575 E Washington Blvd
Pasadena, CA 91104-2675
(626) 317-0179