Shantell Denise Lewis, MS CCCA FAAA
Audiologist in Richmond, VA. Individual provider (NPI-1).
NPI number1063686384
StatusActive
Last updated in NPPESMar 15, 2011
Details
- NPI
- 1063686384
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shantell Denise Lewis
- Credential
- MS CCCA FAAA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2008
- Last updated
- Mar 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 2201001199 | VA | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | – | VA | |
| 237700000X | Hearing Instrument Specialist | 2101001651 | VA |
Practice location
620 Moorefield Park Drive Suite 100Virginia Professional Hearing Healthcare Center
Richmond, VA 23236
Phone 804-330-1350
Mailing address
620 Moorefield Park Dr Ste 100Virginia Professional Hearing Health Center
Richmond, VA 23236-3692
Phone 804-330-1350
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