Provider Demographics
NPI:1699956029
Name:CARTER, LEWIS ANNETTE (PHD, CCC-SLP)
Entity type:Individual
Prefix:PROF
First Name:LEWIS
Middle Name:ANNETTE
Last Name:CARTER
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4214 WESTWIND DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-3323
Mailing Address - Country:US
Mailing Address - Phone:248-891-4812
Mailing Address - Fax:
Practice Address - Street 1:4214 WESTWIND DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-3323
Practice Address - Country:US
Practice Address - Phone:417-347-1247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist