Lewis, Dianne Lacey

Lewis, Dianne Lacey is an sole proprietor health care provider with primary practice located at 27 Shoal Creek Fls , Signal Mountain TN 37377-3141. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Lewis, Dianne Lacey can be contacted via phone (423) 468-4096.

Contact Information

Primary practice address
27 Shoal Creek Fls Signal Mountain TN 37377-3141
Phone: (423) 468-4096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP003612 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP0000004940 Tennessee

Profile Details

NPI number 1003032798
LBN Legal business name Lewis, Dianne Lacey
Credentials M.C.D., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Feb 24th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003032798 NPPES
Georgia MEDICAID 000693316C
Georgia MEDICAID 000693316B

Popular Providers